Improved Processes
Financial Benefits
Better Service
Leading the Way
Going Mobile
100
This project increased auto recon to 12 months.
What is Improve Accounts receivable?
100
The service guarantee goal for this measure is 98%. The claims team has achieved 99.65%.
What is payment accuracy?
100
The group with 2 months of perfect audit scores from corporate audit.
What is Customer Service?
100
On December 1, 52 groups & 87% of groups were this.
What is renewed for 1/1/2014?
100
Claim Summary, Find a Doctor, and Health and Wellness.
What are the top 3 functions used in Member Center?
200
A set of standard benefits was identified during this project.
What is the "Compare" project conducted by Benefits?
200
Not doing this saves over $16,000 a year in printing and postage.
What is sending COB letters?
200
Customer Service is averaging a reduction of 100 calls a day as a result of this initiative?
What is reducing adjustments or COB changes?
200
This is the first remote processor in CCS history to pay providers using EFT.
What is Rochester Public Schools?
200
This was built from the ground up in less than than 6 months.
What is the CCS Member Center?
300
Educating providers was a key element of accomplishing this.
What is reducing provider calls?
300
The amount of outstanding dollars collected internally for CCS receivables (not collected through auto recon).
What is over $300,000?
300
With training and new resources Taft Hartley TPAs are now able to handle about 70% of these calls without transferring the caller.
What are fitness calls?
300
In September, over 12,000 of these were completed by the claims team in support of the change to the COB process.
What is adjustments?
300
Since its launch on September 3rd this has been used 18,341 times.
What are the new CCS mobile enabled portals?
400
The total number of these items is 302. Of that total, 79 have been documented.
What are policies and procedures (P & Ps)?
400
The percent of increase in the auto adjudication rate as a result of the COB process and SRs.
What is about 10%?
400
In 2013 91% of calls resulted in this.
What is first call resolution?
400
Since its launch on September 3rd, this site has been visited over 27,192 times.
What is the new CCS public site?
400
iPads, iPhones, Samsung Galaxys, Droid Razrs, and more.
What are the types of devices used to access the CCS Member Center?
500
The number of groups using Client Center daily to update eligibility and view reports.
What is 60?
500
41,671 adjustments
What is the annual decrease in the number of adjustments as a result of changes to the COB process?
500
34 seconds in 2013 compared to 168 seconds in 2012.
What is the average speed of answer for 2013 compared to 2012?
500
Many hours have been spent preparing to transition to this new standard in October 2014.
What is ICD-10?
500
Over 118 different mobile devices have been used to access this.
What is the CCS Member Center?
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