Health Tips: Blue Cross and Blue Shield Health Insurance Plan

There are a lot of things in life which you can never put a price tag on. Among these are personal security and good health.

Having a healthy lifestyle is a must, but you can never tell what medical emergency might come up with you or an immediate family member. Thus, it is important for you to take steps to insure that you have a reliable health insurance plan.

With health insurance premiums soaring through the roof these days, it is important to get a health insurance plan that will give you your money's worth, while insuring that you and your dependents have an ample coverage.

There are several government-sponsored health insurance premiums that you can take advantage of like Medicare and Medicaid. For private health insurance plans, you can use the one provided by your employer or health plans from certified health care providers that you can get for your self.

'Blue Cross and Blue Shield Health Insurance Plan'

This health insurance plan is provided by the Blue Cross and Blue Shield Association. Their familiar blue cross and blue shield logo is the result of the merging of the National Association of Blue Shield Plans with the Blue Cross Association in the early 1980's.

Since the emergence of the two separate companies more than 70 years ago, it has become a trusted name in American health care.

The Blue Cross and Blue Shield Association is comprised of independent health insurance companies in the country. Now, there are some states where the Blue Cross and Blue Shield companies are considered separate entities, while in many other states these two have been combined, resulting to the Blue Cross and Blue Shield Association.

Members of the Blue Cross and Blue Shield Health Insurance Plans can take advantage of health care available for US citizens within the country, outside of the US and for those who are working abroad or the retirees living outside of the country.

Here are some of the Blue Cross and Blue Shield health insurance plans currently available:

1. HMO's or Health Maintenance Organization

This is a type of Blue Cross and Blue Shield health insurance plan which provides coverage for health care establishments with which the HMO has a contract.

HMO health care plans are used by students, families and travelers who work out of their originating state.

2. Health Care Plans for Blue Cross and Blue Shield Card Holders

Blue Card and Blue Shield card holders can present their Blue Cards to the nearest hospital in case of an emergency. Check with the establishment who issued your Blue Card for you to have an idea of the extent of the coverage of your health insurance plan.

When you are away from home, you can also use the Blue Shield and Blue Cross health insurance plans to receive the health benefits that you are entitled to.

Just visit your local Blue Cross and Blue Shield health insurance company so that you would know about the benefits that you will receive and use the health plans that they offer to provide you with a better health which would lead to a better life.

Dave Poon is an accomplished writer who specializes in Insurance. For more information regarding Blue Cross Blue Shield Health Insurance Plan please drop by at http://www.bestinsuranceworld.com/

Blue Cross Blue Shield Michigan Heads April's Chiropractic Office Billing Software Precision Index

Chiropractic Office Billing Software Performance Index (BPI) in April 2007 outperformed its March value by 4.3%, bringing the index from 18.9 up to 14.6, ahead of the national average of 17.7%, while replacing four of BPI participants in March on the list of top ten performers. BPI guides chiropractic office managers and helps the development of both chiropractic billing software and billing performance standards. This article describes a rule-based chiropractic billing index, including its coverage definition, update cycle, volume weighting, and provided information.

BPI = 14.6 means that the average of ten top performing payers working with Billing Precision clients have 14.6% of Accounts Receivable beyond 120 days. BPI is a key billing performance characteristic, as it is a proxy of the claims that are never paid. Obviously, the lower is the index the better is billing performance. The table below also lists the top ten performing payers and their relative index as recorded in the Billing Precision's system.

• Billing Precision Index 14.6
• Blue Cross Blue Shield Michigan 3.2
• Blue Cross Blue Shield Colorado 6.8
• Humana 7.9
• Blue Cross Blue Shield Illinois 11.1 (down from 11.2 in March)
• United Health Care 13.9 (up from 23.2 in March)
• Cigna 15 (down from 12.9 in March)
• Medicare New Jersey 16.4 (up from 20.5 in March)
• Blue Cross Blue Shield Texas 20 (down from 15.2 in March)
• Great West 22
• Aetna 22.1 (down from 20.9 in March)

April BPI dropped four participants since March:

• Blue Cross Blue Shield Pennsylvania
• Blue Cross Blue Shield Alabama
• Medicare Pennsylvania
• Blue Cross Blue Shield New Jersey

Three payers improved their index since March:

• Blue Cross Blue Shield Illinois 11.1 (down from 11.2 in March)
• United Health Care 13.9 (up from 23.2 in March)
• Medicare New Jersey 16.4 (up from 20.5 in March)

Three participants lowered their indexes with respect to March BPI:

• Cigna 15 (down from 12.9 in March)
• Blue Cross Blue Shield Texas 20 (down from 15.2 in March)
• Aetna 22.1 (down from 20.9 in March)

April BPI added four new participants since March:

• Blue Cross Blue Shield Michigan 3.2
• Blue Cross Blue Shield Colorado 6.8
• Humana 7.9
• Great West 22

Coverage

BPI is rule-based, i.e., payer participation in the index is defined by dynamically rules at the time of computation and not by a static listing of specific payers. Therefore, any specific payer may start or discontinue participation in the index, dependent on satisfaction of rule's conditions.

Current selection of payers for participation in the BPI is based on fifty top-volume providers across all United States that have received Billing Precision services for more than six months and have more than two hundred claims in their current Accounts Receivable.

Update Cycle

BillingPrecision.com updates BPI on a monthly basis.

Volume Weighting

BPI is volume weighted, which is important to accommodate future growth of provided information, index combinations, and sensitivity across multiple indices.

Information Provided

BPI computes the percent of Accounts Receivable beyond 120 days. Note that national average across all medical specialties of percent of accounts receivable beyond 120 days is 17.7%.

Summary

Chiropractic Office Billing Software Performance Index helps the development of both chiropractic office billing software and billing performance standards. Chiropractic office managers can use the index to benchmark their billing performance and guide its improvement over time. Rule-based index definition allows for automated inclusion and exclusion of payers in the index based on payer attributes, such as numbers of processed claims, accounts receivable distribution, certain mix of CPT codes, or patient demographics.

Yuval Lirov, PhD, author of "Mission Critical Systems Management" (Prentice Hall), inventor of patents in Artificial Intelligence and Computer Security, and CEO of Vericle.net Billing Technologies and Services. Vericle® unites hundreds of billing services across the nation. Its electronic medical billing software tracks payer performance from a single point of control and shares compliance rules globally. Yuval invites you to register to the next webinar on audit risk at BillingPrecision.com

Cigna Replaces Blue Cross Blue Shield At The Top Of Chiropractic Billing Precision Index In March

Billing Performance Index (BPI) in March 2007 underperformed its February value by another 1.3%, dropping the index from 17.6 down to 18.9, while replacing three of BPI participants in February on the list of top ten performers. Chiropractic Billing Performance Index guides chiropractic office managers and helps the development of both chiropractic billing software and billing performance standards. This article describes the 10-th iteration of a rule-based chiropractic billing index, including its coverage definition, update cycle, volume weighting, and provided information.

BPI = 18.9 means that the average of ten top performing payers working with Billing Precision clients have 18.9% of Accounts Receivable beyond 120 days. BPI is a key billing performance characteristic, as it is a proxy of the claims that are never paid. Obviously, the lower is the index the better is billing performance. The table below also lists the top ten performing payers and their relative index as recorded in the Billing Precision's system.

 

• Billing Precision Index 18.9
• Cigna 12.9 (down from 12.4 in February)
• Blue Cross Blue Shield Illinois 15.1 (down from 11.2 in February)
• Blue Cross Blue Shield Texas 15.2 (down from 14.3 in February)
• Blue Cross Blue Shield Pennsylvania 17.7
• Medicare New Jersey 20.5 (down from 17.6 in February)
• Aetna 20.9 (down from 17 in February)
• Blue Cross Blue Shield Alabama 21.3
• Medicare Pennsylvania 23.1
• United Healthcare 23.2 (down from 19.7 in February)
• Blue Cross Blue Shield New Jersey 24.3 (down from 20.5 in February)

 

March BPI dropped three participants since February:

• Blue Cross Blue Shield South Carolina
• Medicare Illinois
• Medicare Wisconsin

 

Improved index since February: None.

Seven participants lowered their indexes with respect to February BPI:

• Cigna 12.9 (down from 12.4 in February)
• Blue Cross Blue Shield Illinois 15.1 (down from 11.2 in February)
• Blue Cross Blue Shield Texas 15.2 (down from 14.3 in February)
• Medicare New Jersey 20.5 (down from 17.6 in February)
• Aetna 20.9 (down from 17 in February)
• United Healthcare 23.2 (down from 19.7 in February)
• Blue Cross Blue Shield New Jersey 24.3 (down from 20.5 in February)

 

March BPI added three new participants since February:

• Blue Cross Blue Shield Pennsylvania 17.7
• Blue Cross Blue Shield Alabama 21.3
• Medicare Pennsylvania 23.1

 

Coverage

BPI is rule-based, i.e., payer participation in the index is defined by dynamically rules at the time of computation and not by a static listing of specific payers. Therefore, any specific payer may start or discontinue participation in the index, dependent on satisfaction of rule's conditions.

Current selection of payers for participation in the BPI is based on fifty top-volume providers across all United States that have received Billing Precision services for more than six months and have more than two hundred claims in their current Accounts Receivable.

Update Cycle

BillingPrecision.com updates BPI on a monthly basis.

Volume Weighting

BPI is volume weighted, which is important to accommodate future growth of provided information, index combinations, and sensitivity across multiple indices.

Information Provided

BPI computes the percent of Accounts Receivable beyond 120 days. Note that national average across all medical specialties of percent of accounts receivable beyond 120 days is 17.7%.

Summary

Chiropractic Billing Performance Index helps the development of both chiropractic billing software and billing performance standards. Chiropractic office managers can use the index to benchmark their billing performance and guide its improvement over time. Rule-based index definition allows for automated inclusion and exclusion of payers in the index based on payer attributes, such as numbers of processed claims, accounts receivable distribution, certain mix of CPT codes, or patient demographics.

Yuval Lirov, PhD, author of "Mission Critical Systems Management" (Prentice Hall), inventor of patents in Artificial intelligence and Computer Security, and CEO of Vericle.net Billing Technologies and Services. Vericle® unites hundreds of billing services across the nation. Its electronic medical billing software tracks payer performance from a single point of control and shares compliance rules globally. Yuval invites you to register to the next webinar on audit risk at BillingPrecision.com.