The health plan group has installed Provider POS Direct in two of five pilot provider offices. BlueCross BlueShield expects to complete the rollout of the technology to the remaining three pilot offices by the end of the first quarter.
Provider POS Direct has been fully integrated with the Facets administrative system that BlueCross BlueShield of Tennessee has used since 1996. The combination can help provide price transparency for patients and providers via real-time access to medical benefit and procedure information in order to determine covered benefits and the exact provider reimbursement due from both the member and health plan.
Provider POS Direct enables healthcare providers to determine and share with patients the exact cost of a procedure either in advance of treatment, at the time of scheduling, or after the patient has received care, when the actual claim is available for processing.
According to Chris Levan, CIO for BlueCross BlueShield of Tennessee, the initial rollout of the technology is going extremely well.
Both our health plan staff and the first group of providers using the technology have all offered very positive feedback about the benefits and value of TriZetto’s Provider POS Direct, said Mr Levan. We’re very optimistic about the technology’s long-term potential. We’ve already seen additional demand for this technology from other providers in our network.
