Administrative Simplification Workgroup

The mission of this workgroup is to implement coordinated, improved, simplified claims administration and other procedures to reduce admin costs by looking at these potential areas: 1) maximizing the electronic claims process; 2) simplifying EOB and patient bills; 3) creating uniform provider credentialing; 4) improving the efficiency of claims adjudication 5) evaluating the effectiveness of the prior authorization process, and 6) identifying specific provider reporting requirements, forms, etc., that are redundant and can be eliminated or modified and still comply with different state agencies and/or payers.