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BCBSRI contains its administrative costs, with only about 10 percent of every premium dollar going to administration, by making careful choices to ensure a balanced and productive use of technology and personnel.
The BCBSRI remittance processing department receives a total of about 6,000 paper items per day.
The system worked, but BCBSRI Controller Brian O'Malley thought there was a better way with the careful deployment of technology.
When the system is heavily manual, as it was at BCBSRI, opportunities for error are substantially increased.
However, at BCBSRI, it's a mandate that any investment in technology must provide a demonstrated return on investment.
BCBSRI started to look for a solution back in 2002, contacted three companies to see what they could offer--and began to realize that finding an electronic solution might not be so easy.
All three companies had proposed solutions that could address the full-page remittances, but only one, Fairfax Imaging of Chantilly, Va., produced reference sites that were operating systems that processed full-page remittances as BCBSRI needed.
One of the reasons BCBSRI chose Fairfax Imaging was because of the company's flexibility.
BCBSRI now uses a Kleindeinst SC 35H to scan the corporate full-page documents and an NCR 7780-300 documents/minute scanner for the remittance advises.
Benefits: Here are the impacts at BCBSRI (BCBSNH's are similar).
Savings: During its first five weeks of operation BCBSRI, the Consumer Sales System (CSS) has produced significant sales and operational improvements for BCBSRI's Medicare sales team.
This "busy work" was eliminated from the marketing department's responsibility by leveraging Lotus Notes workflow technology and BCBSRI's existing personnel and equipment investments within the mailroom.
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