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Medicare: Performance of Blue Shield of Massachusetts Under the Tri-State Contract

HRD-88-81BR Published: Mar 31, 1988. Publicly Released: May 03, 1988.
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Highlights

In response to a congressional request, GAO provided information on a Medicare carrier's quality of service in Maine, New Hampshire, and Vermont, specifically its: (1) timeliness of claims payment; (2) payment accuracy; (3) telephone service; (4) review of denied claims; (5) responses to written inquiries; and (6) claims records.

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Claims processingClaims settlementContract performanceContract termsHealth services administrationMedical expense claimsMedicareBeneficiariesClaims paymentsHealth insurance