We have a proven track record of saving businesses and members money and a lot of headaches. Here are just a few of the things our industry leading payment integrity systems can do:
As much as 7% of every health care dollar spent is lost to fraud, abuse, or waste.* From claims verification and medical record reviews in the prepayment phase to audits and remediation during postpayment, our 13-step process leads the industry in ensuring the integrity of every claim
To find out more about our payment integrity program and other ways that Highmark helps protect you and your team, talk to a client manager today.
* Harvard Business Review: How the U.S. Can Reduce Waste in Health Care Spending by $1Trillion, 2015.
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Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Blue Cross Blue Shield of Western New York serves eight counties in Western New York and Highmark Blue Shield of Northeastern New York serves 13 counties in Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.
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