Case Study: Blue Cross Blue Shield of South Carolina
Automated claim attachments solution reduces costs; improves workflow and provider relations."I processed a request from a home plan this morning, sent the physician's office a request for the record, got their response back online within Covisint, and forwarded it on to the home plan all in the same day. This has never happened before."
Danita Mills
Lead Claims Processor
BlueCard Operations at BCBSNC
Name and Location
Blue Cross and Blue Shield of North Carolina (BCBSNC) and Blue Cross and Blue Shield of South Carolina (BCBSSC)
Customer Overview
BCBSNC and BCBSSC deliver healthcare products, services and information to over 4.2 million members.
Focus
Inter-plan claim attachments
Issue
The company's paper-based workfl ows forced unnecessary costs and had a negative impact on provider relations.
Solution
Covisint
Results
Claim resolution cycle time reduced by an average of 12 days. Claims rework volume reduced by 33 percent. Improved provider relations.
