Consider a health plan paying 40,000 vision, dental and hearing claims a year. The analysis measures in-network direct-billing use by member segment and shows that rural members under-use the network for lack of nearby in-network providers.
| Metric | Before | After |
|---|---|---|
| Share of claims going in-network | 39% | 44% |
| Claims billed directly in-network, per year | 15,600 | 17,600 |
| Network savings on claims cost, per year | $1.05M | $1.19M |
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