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Harvard Researchers Select S.C. BlueCross for National Honor
Date:9/10/2007

COLUMBIA, S.C., Sept. 10 /PRNewswire/ -- Harvard Medical School researchers have honored BlueCross BlueShield of South Carolina for an innovation that allows health care providers to obtain member pre- certifications in seconds over the Internet, making the pre-certification process more efficient and less costly.

Researchers from the medical school's Department of Health Care Policy selected BlueCross' "Web Precert" tool as one of seven national BlueWorks(R) winners in honor of "BlueWorks for Providers Week," Sept. 10-14.

BlueWorks is a partnership between the Blue Cross and Blue Shield Association and Harvard's Department of Health Care Policy that recognizes innovative Blue Cross and Blue Shield companies working with doctors and hospitals to increase the efficiency and consistency of care delivery nationwide. Harvard researchers judged Blue Cross and Blue Shield local programs on innovation, efficacy, robust design and the potential for program replication. Since 2004, Harvard Medical School's Department of Health Care Policy has named 35 Blue Cross and Blue Shield programs as BlueWorks winners.

A pre-certification from the insurer to the provider is required for some medical services. With Web Precert, physicians go to the secure My Insurance Manager(SM) section of http://www.SouthCarolinaBlues.com or http://www.BlueChoiceSC.com and enter the member's identifying information to determine if pre-certification is required. If pre-certification is needed, the physician or staff member can enter clinical information online and receive a response for the majority of requests within seconds. About 13 percent of requests are held until additional clinical information is submitted.

Prior to implementation of Web Precert in 2005, doctors' offices submitted these requests by telephone or facsimile.

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SOURCE BlueCross BlueShield of South Carolina
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