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Insurance Claims Processing Services


ProcurementIQ’s Procurement Research Reports cover thousands of indirect purchasing lines. Our data and analysis help you strategically engage and negotiate with suppliers and give you the credibility to work with internal stakeholders and executives. ProcurementIQ’s Insurance Claims Processing Services procurement research provides price trends and forecasts, supplier benchmarks and negotiation questions all intended to give your company leverage during the sourcing process.
doneBenchmark Price
doneRFP/RFQ/Negotiation Questions
done3 Year Price Forecast
doneSupply Chain Analysis
doneSupplier Intelligence
doneSample Buyer Decision Scorecard

Insurance Claims Processing Services - Recent Price Trend

The price of insurance claims processing services has been rising at an estimated annualized rate of 0.8% in the three years to 2018. Growth in rates for services has been motivated by stronger demand for insurance claims processing services. For example, the number of people with private health insurance has been expanding robustly as the implementation of key provisions of the Affordable Care.

Insurance Claims Processing Services - Total Cost of Ownership

Part of the appeal of insurance claims processing service providers is that they offer a comprehensive package for processing claims, thus serving as a one-stop shop for all claims management and fulfillment needs. Buyers benefit from this market characteristic because there are few hidden costs associated with procuring these services. In the case of medical claims, suppliers might require that.

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About this Report

This report is intended to assist buyers of insurance claims processing services. Insurance claims processing services help buyers reduce the costs associated with their claims management system by outsourcing the process to a firm that specializes in this field. The services provided by these firms involve front-end claims acceptance, data entry, claims pre-adjudication, claims adjudication and adjustments, coordination of benefits processing and explanation of benefits processing. These services can benefit various types of insurers, including health and medical insurance carriers, life insurance carriers and property, casualty and direct insurance carriers. This report does not cover the distribution of retirement and pension funds.

Table of Contents

At a Glance

Executive Summary

Price Environment
 Price Fundamentals
  Benchmark Price
  Pricing Model
 Price Drivers
 Input Cost Drivers
 External Demand Drivers
 Recent Price Trend
 Price Forecast

Product Characteristics
 Product Life Cycle
 Total Cost of Ownership
 Product Specialization
 Related Goods
 Subsitute Goods
 Quality Control
Supply Chain & Vendors
 Supply Chain Dynamics
  Supply Chain Risk
  Geographic Locations
 Competitive Environment
  Market Share Concentration
  Vendor Company Types
 Market Profitability
 Switching Cost

Purchasing Process
 Buying Basics
 Buying Lead Time
  Selection Process
  Buying-Decision Scorecard
 Key RFP Elements

Negotiation Questions

Buyer Power Score Components

Jargon & Glossary

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