MANAGED CARE June 1998. ©1998 Stezzi Communications
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Plan To Streamline Claims Processing Gets Tepid Review

The health insurance community is reacting cautiously to plans by the Department of Health and Human Services to streamline claims processing and to establish a standardized format for submission of electronic claims.

HHS's May 7 announcement included proposals to:

Richard Coorsh, a spokesman for the Health Insurance Association of America, says HIAA "has always been supportive of efforts to simplify the administration of health care claims and efforts of electronic task forces to reduce paper work." That said, Coorsh adds, "We think, of course, that there should be consistency in the law."

The American Association of Health Plans and the Blue Cross/Blue Shield Association are also studying the proposal.

HHS says the regulations would save at least $1.5 billion in the first five years of implementation. The comment period ends July 6.