Payer news Briefs

By Bernie Monegain
12:00 AM

Kanawha Insurance taps CGI for document managementSouth Carolina-based health and life insurer, Kanawha Insurance Company has selected CGI for a ten-year business process services outsourcing contract valued at $12 million. CGI will deliver complete, on-site document management services. CGI will provide inbound and outbound mail management; paper to digital conversion; document validation and indexing; procurement; production print of all policies, billing forms, reports, and explanation of benefits statements; other production print; distribution services; and facility support. As part of the contract 19 Kanawha professionals are joining CGI. The new agreement is an expansion of the 10-year full IT outsourcing contract previously announced last year.

Hawaii insurer streamlines forms processingHawaii Medical Service Association has selected Verity's TeleForm MediClaim content capture technology to streamline forms processing. HMSA is an independent licensee of the Blue Cross and Blue Shield Association and the largest provider of healthcare coverage in Hawaii.Verity will help the insurer enhance the processing of its standardized healthcare information forms, such as HCFA 1500 and UB 92 claim forms as well as its non-standard forms for enrollment and correspondence. HMSA's initial use of the process-automation features will focus on capturing the medical claims into an electronic format and then transitioning all claims to MediClaim. The expected results are greater accuracy and efficiency achieved in less time. The goals for the project include improving claims productivity rates and achieving economies of scale by automating the processes associated with additional forms and documents.

SSI Group acquires National EDIThe SSI Group has acquired National EDI Systems Corp. Dallas-based National EDI (electronic data interchange) uses proprietary tools and cost-effective processes to enable electronic financial transactions between payers and medical providers, groups and/or billing services.Bobby E. Smith, chief executive officer and president of SSI, said, "Our company is focused on becoming increasingly essential to the financial operations of our clients. Our payer and hospital clients asked us to expand our capability of serving the individual provider's end-to-end electronic financial processing needs."

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