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Paying Claims

What was measured?

What percentage of HMO members highly rated their HMO on paying claims correctly and quickly?

These results are based on a survey of a sample of HMO members.

Why is it important?

High scores mean that HMO members' reported that claims were paid correctly and quickly and there were no surprises in the amount that the member owed.
 

Look for differences of at least four percentage points.

Smaller differences are often not significant.

Paying Claims
Health Plan (HMO) Rating
  • 0% (worse)
  • (better) 100%
Health Net of California 84%
Kaiser Permanente - Northern California 83%
Blue Cross of California - HMO 81%
CIGNA HealthCare of California 71%