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Salinas says BCBSGa was fortunate that 360[degrees] Health was first piloted at Empire Blue Cross in New York for up to a year and a half, giving the Georgia health plan the benefit of Empire's experience and lessons learned.
A cornerstone component of the program is the personal health record (PHR), available for BCBSGa members in this quarter.
It is one of many steps Salinas says BCBSGa is taking to provide customized member services before that government-initiated deadline, be it 2011, 2014 or 2024, approaches when all healthcare systems should be able to interoperate and exchange pertinent patient data.
In addition, BCBSGa members also have available Web-based information for hospital cost-comparisons via Subimo-powered functionality.
BCBSGA selected the FormWorks for Health Insurance product of Recognition Research Inc.
RRI had a vested interest in keeping the system running since BCBSGA opted for a cost paid via a click charge (pennies per claim) rather than a one-time software charge.
In addition, one-day turnaround on claim scanning means payment processing has claim information a full four days faster, which translates to quicker reimbursement for BCBSGA providers and/or members.
Because RRI maintains a copy of BCBSGA's software, test runs can be accomplished off-site with no production downtime.
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