|
|
|
| 
Managed Care
|
HARVARD TO GET 50% OF ’04 CLAIMS DIRECT
Harvard Pilgrim (Wellesley, MA) expects to receive about 50% of its 11 million annual hospital and physicians’ office claims (not including pharmacy claims) to come through direct connections with the health plan, Charles Baker, chief executive, tells EHI.
|
|
OXFORD CUTS CLAIMS STAFF 20% IN 2003
Oxford Health Plans (Trumbull, CT) was able to reduce claims and customer service staff by 20% in 2003, largely because of the implementation of electronic technology for claims submission and adjudication, referrals and renewals, according to Charles Berg, chief executive.
|
|
BCBS-NC TO PUSH ONLINE ENROLLMENT
Blue Cross Blue Shield of North Carolina (Durham, NC) hopes to make significant headway in moving clients toward electronic enrollment of members in 2004, according to Robert Greczyn, chief executive.
|
|
TUFTS TO USE HEALTHSHARE FOR HOSPITAL QUALITY DATA
Tufts Health Plans (Waltham, MA) will provide its members with online access to hospital quality data supplied by HealthShare (Acton, MA), according to Kevin Counihan, senior vice president of sales and marketing services.
|
|
HEALTH NET MOVING TO ONE PLATFORM
Health Net (Woodland Hills, CA) is finding that an ongoing migration to a single technology platform for administrative functions is already yielding reductions in claims inventory and days claims payable along with increases in electronic claims submissions and auto adjudication, chief executive Jay Gellet tells EHI.
|
|
|
|
