After six months of working to resolve problems, the HealthChoice claims backlog is beginning to decline. Issues with the new claims processor, EDS, caused the agency to fall months behind in paying claims.
“It
is important to remember that the problem was not caused by the state
employees who work at OSEEGIB, but a contractor of the agency that
administers HealthChoice claims,” said OPEA Policy and Research
Director Trish Frazier. “This part of the agency was privatized several years ago and the new corporate vendor was not up to the task.”