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Browser Second Factor

Policies and Guidelines : Best Practice Recommendations : Adoption Matrix : Pre-Auth & Admit Notification : Credentialing Data Collection : Stakeholder Groups

Provider Adoption Report

The following reports are intended as a representative sample of provider usage of health plan call centers and web site capabilities. Health plans will report provider usage every three months starting with the period of Jan-March 2011. (Health Plan reporting is voluntary.) Ideally, provider usage of call centers will trend downward and usage of web site capabilities will trend upward. The most recent quarter is displayed with total line showing percentage change from pervious quarter totals. A trend report of multiple quarters offers an easy display of the change over time. Previous quarters are listed at links for viewing. Click on the link of the quarter you wish to view, click again to close quarter.

Adoption of Eligibility and Benefits

Adoption of Claim Status

Adoption of Prospective Review Capability

All reporting health plans are in the process of implementing 'BPR - BPR - Browser Capabilities for Pre-Authorization and Admission Notification. This report tracks provider phone calls for Prospective Review information, e.g Pre-Auths, Benefit Advisory, Pre-Cert, etc. along with provider usage of the health plan web site to electronically submit a Prospective Review Request.


Click Here to see Q4 2011 Prospective Review Usage

Usage of Prospective Review Capabilities	Call Volume	Web Usage
	# of Prospective Review Requests that were submitted by fax, mail, phone	# of Unique Provider organizations that electronically submit Prospective Review Request
Group Health:	28,017	775
Molina Health Plans:	27,635	74
Premera Blue Cross:*2	23,603	348
Foot Notes:	*2 - Includes non-Washington State data


Click Here to see Q3 2011 Prospective Review Usage

Usage of Prospective Review Capabilities	Call Volume	Web Usage
	# of Prospective Review Requests that were submitted by fax, mail, phone	# of Unique Provider organizations that electronically submit Prospective Review Request
Group Health:	24,072	752
Molina Health Plans:	21,399	121
Premera Blue Cross:*2	11,331	307
Foot Notes:	*2 - Includes non-Washington State data


Click Here to see Q2 2011 Prospective Review Usage

Usage of Prospective Review Capabilities	Call Volume	Web Usage
	# of Prospective Review Requests that were submitted by fax, mail, phone	# of Unique Provider organizations that electronically submit Prospective Review Request
Aetna:	2,461	34
Group Health:	25,929	721
Molina Health Plans:	35,612	495
Premera Blue Cross:*2	6,290	316
Foot Notes:	*2 - Includes non-Washington State data


Click Here to see Q1 2011 Prospective Review Usage

Usage of Prospective Review Capabilities	Call Volume	Web Usage
	# of Prospective Review Requests that were submitted by fax, mail, phone	# of Unique Provider organizations that electronically submit Prospective Review Request
Aetna:	2,124	30
Group Health:	25,210	787
Molina Health Plans:	42,360	470
Premera Blue Cross:*2	8,941	203
Foot Notes:	*2 - Includes non-Washington State data

FREE CMS ICD-10 Implementation Handbooks Click here to find out more.

Credentialing and Privileging Data Collection - videos. To view the training videos on Provider Attestation and Browser Second Factor Provisioning click here

WPA Field Mapping Guide NOW Available to assist in mapping your provider data to the new ProviderSource application. click here

Health Information Exchange Project Updated. Read the latest on the Washington State HIE: click here