ACM Technology To Make Medical Pharmacy Claims Processing More Efficient
MINNEAPOLIS, July 15 /PRNewswire/ -- ACM announced today the signing of a new three-year contract with Blue Shield of California that will make it easier for providers to submit claims for complex services, such as home infusion treatment, to the not-for-profit health plan. ACM's proprietary e-Precision claims(SM) technology will streamline the claims process and increase the accuracy of claims payments.
"Working with ACM will allow us to better serve our healthcare providers with easy-to-understand and straightforward billing practices," said Alan Sokolow, Senior Vice President and Chief Medical Officer at Blue Shield of California. "We look forward to working with ACM to achieve that goal."
ACM will provide Blue Shield and its network of infusion and specialty pharmacy providers with a hosted web-based portal that is user-friendly, secure, and HIPAA-compliant to submit claims electronically, receive online training and support, and gain real-time access to information on the status of claims. ACM also will provide user-configuration and maintenance, connectivity and electronic data interchange capabilities, training and help desk support, and automated edits.
In addition to improving the claims management process, implementation of ACM's electronic claims application will drive cost savings for Blue Shield of California. ACM's technology and services, which include provider contract administration, have been shown to improve auto-adjudication rates, increase the percentage of claims submitted electronically and, ultimately, generate additional administrative savings for clients.
"Our e-Precision(SM) Claims technology has been helping clients for over a decade more cost-effectively manage all types of products and services paid under both the medical and pharmacy benefit -- especially injectable pharmaceuticals," said Glen Udine, ACM's Executive Vice President and General Manager, Commercial Markets. "We are very pleased to be partnering with Blue Shield of California to deliver the power of this robust system to improve the company's overall performance in the infusion arena and to bring accuracy and consistency to their claims management processes."
ACM began providing services to Blue Shield of California on July 1, 2008 via its web portal that is available 24/7 at http://www.ACMcentral.com.
A healthcare benefits management company, ACM delivers next generation decision support tools to manage authorizations, claims processing technology for pricing precision, and nationally-recognized patient care programs. Covering over 40 million lives for the nation's largest health plans and payers, Minneapolis-based ACM is URAC-accredited for health utilization management, holds full accreditation by EHNAC, and has twice been named to the Inc. 500 list. http://www.acmcentral.com.
Background on Blue Shield of California
Blue Shield of California, an independent member of the Blue Shield Association, is a not-for-profit health plan dedicated to providing Californians with access to high quality care at a reasonable price. Founded in 1939, it now has 3.2 million members, 4,500 employees, one of the largest provider networks and more than 20 office locations, providing a wide range of commercial and government products throughout the state. The company has contributed $100 million over the past three years to the Blue Shield of California Foundation to fund nonprofit organizations that improve access to quality health care in California. Contact your local agent or broker for more information about Blue Shield products and services, or visit the Blue Shield web site at http://www.blueshieldca.com.
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