As the new government of Guam insurance provider, Aetna has paid 89 percent of claims submitted, totaling $1.98 million, a release from the Department of Administration states.
Of 17,597 claims so far, 15,672 have been paid, the release states.
Of those, 13,153 were medical claims and 2,519 were dental claims, the release states.
Of the total paid, 12,211, or 78 percent were processed automatically, the release stated.
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The average aging of claims is 10 days, and providers are encouraged to submit billings electronically, as this permits faster processing.
Aetna also granted 508 applications for off-island care in the U.S., South Korea, Taiwan, Thailand and the Philippines, the release stated.
The information was released in response to comments regarding the transition to Aetna for GovGuam health coverage by certain providers, the release stated.
Aetna has medical professionals situated in at least five different time zones ready to respond to providers who need to discuss care for their patients, the release stated.
Aetna started processing claims on Nov. 4 when eligibility had been finalized following the completion of open enrollment on Oct. 12.
GovGuam enrollment was scheduled to being in August but was delayed by a procurement protest.
Open enrollment began Sept. 23 and medical services were available to GovGuam members on Oct. 1, the release stated.
Source: Guam Pacific Daily News