BCBSKCBlue Cross and Blue Shield of Kansas City
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After data was entered into BCBSKC's two transaction systems, all data and corresponding documents were couriered back to BCBSKC.
BCBSNC and BCBSKC believe that the solutions offered by Topaz will be attractive to other Blue plans in the future.
The health care industry is poised for great change, and Alineo is a solution that can easily adapt to meet our needs as we evolve with the market," said Brian Burns, senior vice president of Health Care Services at BCBSKC.
A team of BCBSKC supervisors would start the day by reviewing paper reports that listed the claims requiring manual processing.
BusinessObjects XI will provide BCBSKC with extreme insight into claims information, which is the core of the company's business.
American Healthways has consistently provided quality support services to our members and the physicians in our network," said BCBSKC Chief Medical Officer and Senior Vice President Frank J.
BCBSKC provides health coverage to more than 865,000 residents in the greater Kansas City community, offering a number of benefit programs that can be included in group health plans for area employers.
The network of clinicians at BCBSKC now has quick and easy access to fully annotated, evidence-based references.
We originally selected American Healthways because we felt they could provide the highest quality support services to our members and the physicians in our network," said John Kennedy, executive vice president at BCBSKC.
BCBSKC must comply with the privacy and security regulations of HIPAA, which require health plans and hospitals to ensure the confidentiality and security of all electronic PHI.
The mission of Blue Access is to create a community culture within BCBSKC by providing tools and information that foster an effective work environment for its employees.
The company's initial focus is on the improvement of its customer-focused processes, including streamlining of procedures in the BCBSKC member services, customer service, claims and central operations divisions.