APQC Process Classification Framework (PCF) – Health Insurance Payor – Excel Version 6.1.1

Published On:
April 28, 2023
Authored By:
APQC
Public Content:
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Effective benchmarking requires common definitions and processes. Like a shared language, organizations need to make apples-to-apples comparisons to obtain accurate benchmarks and metrics. The original Process Classification Framework® (PCF) provides a common language and open standard that allows organizations to see and discuss their activities from an industry-neutral viewpoint.

While cross-industry content is valuable, APQC recognizes that for some industries it is more difficult to apply, and nuances in processes may occur by industry. As a result, APQC releases industry-specific frameworks to enable faster, more relevant use and comparisons. KPMG provided the subject matter expertise and intellectual property to develop and donate this industry PCFs in support of open standards.

The Health Insurance Payor PCF restructures the cross-industry PCF taxonomy to include categories of processes relevant to health insurance payor organizations.

The PCF is written in United States English language format.

Click here to access the PDF version of this framework.

Note: This is a Microsoft Excel template. If you do not have Excel installed on your computer, then the file will not open. If you encounter issues with the download, we recommend right-clicking the download button, selecting "save target as...", and saving the template directly to your desktop or local network.