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

Published On:
April 28, 2023
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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 Excel version of this framework.