Group Health Incorporated (GHI) has been a Medicare Part B Carrier since 1966, processing claims for services rendered in its jurisdiction of Queens County, New York. In addition to Part B, GHI holds several other contracts with the Federal Government to administer various programs on behalf of the Centers for Medicare and Medicaid Services (CMS).

GHI Medicare Part B takes great pride in its service excellence and the highly efficient approach by which it provides a full range of services. With many touch points to the surrounding communities, GHI Medicare Part B has developed a successful relationship with the both the provider and beneficiary stakeholders within and around its jurisdiction. Due to our size and proximity to these communities we have developed a personal touch that is uncommon within government services.

Our employees strive to exceed customer expectations and recognize the importance of every call and document received by our organization. Through continual improvement and quality assurance initiatives GHI Medicare Part B strives to safeguard program funds while administering the Medicare contract in a responsible and customer-focused manner.

In addition to processing claims, Part B handles written and telephones inquiries, appeals and hearings. An extensive outreach program includes a web site, quarterly provider newsletters, and presentations at hospitals, advocacy groups and senior citizen centers, among other forums. A Carrier Advisory Committee meets three times per year to present new payment policies to representatives from the medical specialty societies.

Some facts about GHI Medicare Part B :

During the twelve (12) month period ending December 31, 2004, GHI Medicare Part B processed 4.83 million claims using a highly automated on-line system, of these claims over ninety-nine (99%) were completed in less than sixty (60) days. Eighty-four percent (84%) of the claims were received electronically through the GHI Medicare Part B EDI function. Claims are currently automatically crossed over to thirty-two (32) secondary insurers and clearinghouses. Over 500,000 telephone inquiries were handled, over ninety percent (90%) in under sixty (60) seconds.

The GHI Medicare Part B team continues to manage its responsibilities with great pride and attention to detail. Our average employee has over fifteen years of experience in the Medicare program and brings that experience to the table each day. We look forward to our continued role and direct our ongoing service toward this important mission.