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eHealth Insider

April 2006

BCBS-SC CREATES ONLINE CLAIMS ADJUDICATION SYSTEM

Blue Cross Blue Shield of South Carolina (Columbia, SC) boosted its EDI rates by over 20% in the past five years, mainly by eliminating all the reasons why physicians or hospitals either had to or felt they had to send in paper claims. BCBS-SC in 2001 designed an online claims adjudication system to give providers a direct link for processing claims.


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