Artificial intelligence and machine learning technology to reduce the administrative burden of providers and give patients a retail-like experience
Published: October 18, 2021 11:19 AM AKDT | Updated: 1 hour ago
Oakland, CA, October 18, 2021 / PRNewswire /-New collaboration between Blue Shield, CA, Google Cloud, and other technology companies automates and simplifies the billing and payment process for both healthcare providers and patients. Plans to transform medical billing by doing so.
Blue Shield of California logo (PR Newsfoto / Blue Shield of California)
“The goal is to simplify the provider’s billing and payment process so that the provider can spend more time caring for the patient.”
Blue Shield and Google Cloud are launching a new approach to paid providers that process member bills in real time. By developing a scalable cloud platform that integrates the solutions of other Blue Shield technology partners, companies will use automated processing, artificial intelligence and machine learning technologies to digitize their health insurance claims for billing information and bill payments. Greatly improves accuracy and timeliness.
This collaboration transforms the member experience by providing immediate information about out-of-pocket costs. This initiative also allows providers to understand the payments they can expect from Blue Shield and eliminate cumbersome management processes.
Lisa Davis, Senior Vice President and Chief Information Officer at Blue Shield of California, said: “We are rethinking health care by providing instant billing information that is digital, personalized, transparent and easy to understand.”
Over time, Blue Shield plans to extend its initiative to all providers, plan types, categories of complaints processed, and health information exchange.
A 2019 survey of the US healthcare system found that out of $ 3.6 trillion in health care costs annually, $ 265.6 billion was wasted due to management complexity. Most are related to health insurance payments and can take several days or more. As a result, members often wonder what they will ultimately pay for their health care, and it is uncertain when their health care providers will pay for the service.
Integrating technologies from Google Cloud and BlueShield’s other healthcare technology partners, BlueShield will standardize datasets and help expand our ongoing commitment to transforming and automating billing and billing payment systems. This allows members and providers to know exactly what they can expect when care is provided. ..
Aashima Gupta, Director of Global Healthcare Solutions on Google Cloud, said: .. “This plan, which provides clear, concise and accurate medical billing information, leads to the creation of a national model that enables instant understanding of all medical billing and eliminates the friction between consumers and providers.”
This collaboration is the latest example of Blue Shield’s Health Reimagined strategy. This is an ambitious effort in a non-profit health plan to transform the health care of individuals, families, providers, and the California community.
About Blue Shield in California
The Blue Shield of California strives to build a sustainable and affordable medical system for family and friends. The Blue Shield of California is an independent member of the Blue Shield of California, a tax, non-profit organization with over 4.6 million members, over 7,500 employees and over $ 21 billion in annual revenue. Blue Shield of California and its affiliates, founded in San Francisco in 1939 and now headquartered in Oakland, offer health, dentistry, vision, Medicaid, and Medicare healthcare service plans in California. .. Over the past four years, the company has donated more than $ 150 million to the Blue Shield of California Foundation to influence the California community.
For more information on the Blue Shield of California, please visit news.blueshieldca.com.
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Source California Blue Shield
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