An annual ranking of insurance companies by athenahealth Inc., based on analysis of claims data from 40,000 physician clients, finds “very modest” improvement in payer performance between 2011 and 2012, according to the vendor.

That continues a trend started in 2011 when for the first time since rankings started in 2005 industry performance remained flat and in some cases decreased. Burdens with conversion to the HIPAA 5010 transaction sets hurt performance in 2011 and continued to do so in 2012. The conversion resulted in lower performance for days in accounts receivables and first pass resolve rates.

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