Healthcare

Infosys BPO partners with a Large Blue Cross Blue Shield Organization to Improve Efficiencies and Cost Savings in its Provider File Management Process

A large Blue Cross Blue Shield organization was facing challenges in maintaining provider data across multiple databases, platforms and legacy systems. Other challenges included erroneous... claim processing, high provider and member dissatisfaction, and a steep rise in the volume of Customer Support complaint calls. This case study highlights how Infosys BPO helped the organization improve their provider data maintenance process and achieve significant improvement in efficiency, productivity and cost-savings.

Infosys helped a Large Blue Cross Blue Shield Organization Improve Efficiencies and Cost Savings in its Claims Processing System

A large Blue Cross Blue Shield organization upgraded its claims processing platform from version 2.0 to version 3.2. A lack of bandwidth to support the 3.2 version was creating inefficiencies. Infosys BPO helped the company adopt... the new platform by training the staff. Our approach involved WebEx sessions and knowledge management through detailed process documents and check lists for rapid training and application of concepts. We helped the company implement an operations excellence framework and improved the claims processing efficiency. Our solution reduced cost per claim by 27% within a span of five months.