Improvement of the Health Plan Group Invoice Change Submission Process

Abstract

Puerto Rico’s health plan industry is constantly growing and creating services specialized to attend specific medical needs. In addition, constant regulatory scrutiny, customerbased technology and medical advancement makes this a volatile industry. Therefore, constant improvement procedures and techniques will be advantageous, in order to keep up with such a changing environment. A key component of this business would be the proper invoicing of services and any process attached to this action. Based on this scope, the invoice change submission process is a relevant and key step, which has to be constantly monitored to ensure an optimum service quality. This project has been conceptualized via the usage of quality tools and analysis to improve the invoice change submission process. These efforts will reduce process time, diminish costs and improve the general quality of the customer health plan invoice. Key Terms - Change Submission Process, Health Care Industry, Health Plan, Invoice.