April 2004, Issue 4

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Claims, Customer Service Performance Quality Remain High in 2003

Delta Dental processed a record number of claims, while continuing to maintain excellent service levels in 2003, according to the company's 2003 Operations and Customer Service Reports. Here is a glimpse at some of our 2003 statistics:

Number of claims processed
Nearly 3 million (nearly 4% more than last year)

Average claim cycle time
9.1 business days (7.51 business days for electronic claims)

Customer Service call volume
Nearly 892,000 calls

  • 634,000 handled by Customer Service agents

  • 258,000 handled by automated voice response system

Despite growth in claims and the number of subscribers, call volume is down 3.5%. A growing number of subscribers and dentists use Delta Dental's Internet site for answers to their benefits, eligibility and claims questions.

Accuracy rates
Key accuracy measures--clerical accuracy, payment accuracy and dollar accuracy--all 99% or higher

Dental network size-New Jersey

  • 6,076 DeltaPremier participating dental office locations

  • 3,712 Delta's Advantage Program dental office locations

  • 3,023 DeltaPreferred Option dental office locations

Dental network size-Connecticut

  • 2,416 DeltaPremier participating dental office locations

  • 1,077 DeltaPreferred Option dental office locations

Dental network growth-New Jersey
Added:

  • 511 DeltaPremier office locations

  • 394 Delta's Advantage Program office locations

  • 369 DeltaPreferred Option office locations

Dental network growth-Connecticut
Added:

  • 323 DeltaPremier office locations

  • 199 DeltaPreferred Option office locations


Other Subscriber News stories in this issue:

Financial Strain Could Affect More Than Just Pocketbook

PANDA Program Fights Child Abuse

Golf Classic Reminder

Peggy Marvin Promoted to Assistant Vice President of Claims

Delta Dental Revises EOB

Click here for previous issues of Subscriber News

Comments & suggestions are welcome: Contact our editor at smile@deltadentalnj.com
©2004 Delta Dental Plan of New Jersey, Inc.