Blue Cross and Blue Shield have been providing health insurance for a very long time. After their merger in 1982, these companies combined either directly or indirectly insure nearly 100 million citizens of the country.
With such a large client base to cater to, they have over 80 million patient histories that need to be compiled into a readable and recognizable format. It is critical to have this data in a format that can be used to analyse the information and clinical practices. Dealing with such a large data pool is a challenge. All the information needs to be stored in an easy to access spot and in a format that can be used by users easily.
We looked at the whole system and understood the manner in which the information was collected and stored. Users needed to enter the data which could then be saved and digitized. There was also a need to ensure that multiple users from different facilities should be able to use the system at the same time.
Using SharePoint Workflow as the content management platform, we designed a system that was easy to use and gave the users information in a format that they could be comfortable with.
Now, Blue Cross Blue Shield have a system that can generate real time reports with information that can be utilized for quick decision making. The statistical data also helps them to analyse trends and make it easy for the top management to take steps to improve their functionality.
The users now have the information they need to conduct any studies about trends etc. They can also access information about clinical practices and review the data as required. It is also possible to search for patient histories quickly.
With all this information at their disposal, they are now in the position to analyse patterns in insurance claims, any health issues of the patients etc.
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