Navigation Links
Harvard Researchers Select S.C. BlueCross for National Honor

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 or 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.

"I would say it saves me at least 15 to 20 minutes per pre-certification, and that is very important for me because I pre-cert for seven doctors," said Vicki Peebles, director of marketing and pre-certification for Blue Ridge Orthopaedics Associates in Seneca, S.C. "I can get backed up very quickly if I have to request a pre-certification by phone and I'm on hold for 30 minutes. I can complete a request online with BlueCross in less than five."

David Boucher, assistant vice president of Health Care Services for BlueCross, said Web Precert was developed because physicians requested the ability to obtain pre-authorizations online.

"BlueCross BlueShield of South Carolina is committed to providing our physicians, facilities and other health care providers with the information and tools they need to interact with us in the most efficient manner possible," Boucher said. "We believe the ability to access key authorization information quickly and easily promotes quality service and enables better health care for our members."

Dr. Barbara J. McNeil, head of Harvard's Department of Health Care Policy, said Web Precert allows physicians to communicate with BlueCross more efficiently.

"Contemporary managed care requires frequent communication between the provider and health plan," McNeil said. "This online tool allows providers to meet the reporting needs of the health plan with less effort, when and where it is most convenient for the provider."

Headquartered in Columbia, S.C., BlueCross BlueShield of South Carolina and wholly owned subsidiary BlueChoice HealthPlan of South Carolina Inc. are independent licensees of the Blue Cross and Blue Shield Association. BlueCross BlueShield of South Carolina and its family of companies include more than 20 subsidiaries involved in health insurance services, U.S. DOD health plan and Medicare contracts, and other insurance and employee benefits services.

BlueWorks is a registered mark of the Blue Cross and Blue Shield Association. My Insurance Manager is a service mark of BlueCross BlueShield of South Carolina.

SOURCE BlueCross BlueShield of South Carolina
Copyright©2007 PR Newswire.
All rights reserved

Related medicine news :

1. Disaster Planning Guide From Harvard Health Publications
2. Harvard Proposes Drug Disposal Plan
3. Harvard Begins Controversial Human Stem Cell Cloning Project
4. International Conference on The Costs And Benefits of HIV/AIDS Interventions in Developing Countries to be hosted by Harvard
5. Antidepressant Use May Boost Fracture Risk, From Harvard Womens Health Watch
6. Harvard to Develop Medical City in Islamabad
7. Researchers urge caution in using ear tube surgery
8. Researchers Scale to assess the Severity of Epilepsy in Kids
9. Ecstasy shrinks brain!!-researchers unveil the secrets of MDMA.
10. New Hair in 15 Days Could Now Be A Possibility Say Researchers
11. Researchers at Cornell University as been reported using research fund by false claims
Post Your Comments:
(Date:6/25/2016)... Beach, CA (PRWEB) , ... June 25, 2016 , ... ... UCLA with Magna Cum Laude and his M.D from the David Geffen School of ... Diego and returned to Los Angeles to complete his fellowship in hematology/oncology at the ...
(Date:6/25/2016)... ... 25, 2016 , ... On Friday, June 10, Van Mitchell, Secretary of the ... to iHire in recognition of their exemplary accomplishments in worksite health promotion. , The ... Health & Wellness Symposium at the BWI Marriott in Linthicum Heights. iHire was one ...
(Date:6/24/2016)... , ... June 24, 2016 , ... A recent ... most people are unfamiliar with. The article goes on to state that individuals are ... many of these less common operations such as calf and cheek reduction. The Los ...
(Date:6/24/2016)... ... June 24, 2016 , ... June 19, 2016 is World Sickle Cell Observance ... and the benefits of holistic treatments, Serenity Recovery Center of Marne, Michigan, ... Disease. , Sickle Cell Disease (SCD) is a disorder of the red blood cells, ...
(Date:6/24/2016)... Texas (PRWEB) , ... June 24, 2016 , ... ... International Conference and Scientific Sessions in Dallas that it will receive two significant ... of the grants came as PHA marked its 25th anniversary by recognizing patients, ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... INDIANAPOLIS , June 23, 2016 Roche ... received 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) ... severe sepsis or septic shock. With this clearance, Roche ... provide a fully integrated solution for sepsis risk assessment ... associated with bacterial infection and PCT levels in blood ...
(Date:6/23/2016)... -- Research and Markets has announced the addition ... to their offering. The ... commercial environment for MedImmune to enter. The US ageing population ... to drive considerable growth for effective anti-influenza medications. The introduction ... considerably, but development is still in its infancy. ...
(Date:6/23/2016)... INDIANAPOLIS , June 23, 2016 If ... Leaders Scholarship is any indication, the future is in ... at by the Diabetes Scholars Foundation ... the way of academic and community service excellence. ... since 2012, and continues to advocate for people with ...
Breaking Medicine Technology: