Connecting the Business & Technology Communities
May 2012 • Volume 15, Issue 3
page 24 page 28 STATISTICALLY SPEAKING
Automated Claims Processing
Pays Off for Health Insurers
Stung by costly errors associated with manual claims processing, insurers
such as locally operated Blue Cross and Blue Shield plans are pairing their
claims automation strategies with data management tools to give health
care providers better information at the point of service. Besides creating
a streamlined approach to dealing with the multiple financial and non-financial transactions that go into processing claims, these carriers are
providing frustrated physicians and hospitals with better health information data and faster claims turnaround.
At Amalgamated Family of Companies, a group that includes a life and
health insurer and a P&C brokerage, users play a key role in ensuring
that proprietary information is secure. By implementing an automatic
e-mail encryption program and a net work appliance designed to analyze
the content of outgoing e-mails, Amalgamated is able to provide a data
security “safety net” and an environment that gives informed users a sense
of ownership in the process.
Data Security Safety Net
Insurer IT Spend Increases
Data Standards:
How Global Can We Go?
Determined to improve how insurers do business,
ACORD’s Shane McCullough (l) and Lloyd Chumbley are revolutionizing the organization’s processes
to enable true global data interoperability. page 16
