ABCBSArkansas Blue Cross Blue Shield
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To facilitate the processing of these claims, ABCBS has set up what it calls the Advanced Health Information Network (AHIN) which links doctors offices and hospitals to ABCBS.
Caption: Mark White: Growth at ABCBS driven by "private option.
With Benefitfocus(R) eBilling, ABCBS is taking steps towards delivering an integrated approach for managing its multiple lines of business.
ABCBS and its affiliates have more than 2,700 employees and serve approximately one- third of Arkansans.
Additionally, ABCBS has embarked on a definitive business diversification strategy that is expected to strongly influence and add cohesiveness among mutual and not-for-profit Blue Plans in the southern region of the United States after bringing renewed focus and innovation to a broad suite of traditional ancillary products.
This initiative is designed to bring more competitive products to the marketplace, gain back-office economies of scale in both IT system development and administrative services, and promote the sharing of best practices and product innovation," said Mark White, executive vice president and chief financial officer of ABCBS.
ABCBS maintains a substantial market share in Arkansas, which limits its future growth opportunities.
To gear up for the newly insured, ABCBS opened retail outlets where people can go to learn about health care policies.
With nearly 178,000 participants and a statewide network of nearly 4,600 health care providers and 92 hospitals, ABCBS operates the state's oldest and largest HMO (health maintenance organization).
ABCBS is a Medicare Part A Maintenance Contractor for the Centers for Medicare & Medicaid Services (CMS), the federal agency that administers the Medicare and Medicaid programs for 75 million Americans.
The indictment alleged that between 2005 and 2012, the Barrows, through their medical clinic, Your Doctor's Office in west Little Rock, submitted the false bills to Medicare and ABCBS.
The Internet buying software was deployed over a four month time period at the ABCBS corporate office in Little Rock.