Workflow Case Studies in Healthcare

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Article	Capital Blue Cross Blue Shield, PA
	North American Excellence Award: Gold, Imaging (1997). Nominated by Eastman Sofware, with integration by Image Consulting Group
	Capital Blue Cross is the largest health insurer in Central Pennsylvania and the Lehigh Valley, serving nearly 1.5 million members in a 21-county region. Capital Blue Cross customers with Comprehensive Major Medical and Wraparound Major Medical coverage can be assured their claims are handled as efficiently as possible through the CBC Sigma Omnidesk system and Pennsylvania Blue Shield IBM ImagePlus system. Pennsylvania Blue Shield is also an independent licensee of the Blue Cross and Blue Shield Association. The CBC system invisibly uses automatic retrieval robots to interface with PBS and CBC mainframes and imaging systems for claims retrieval, conversion and processing among four locations. This imaging process, along with others, has reduced CBC's annual two million claims throughput by seven days.
Size	Pages: 21 Size: 94KB

Article	PPP Healthcare, England
	European Excellence Award: Workflow, Silver (1997). Nominated by Mosaix
	To unravel the mystery of business process automation take 101 different document types, distribute around three LANs, one WAN and 640 desks. Throw in a jumble of hardware and software, superfast state-of-the-art scanners, juke boxes and the latest in workflow technology, whiz together with a legacy mainframe system and it is possible to begin. It is true that not every business process automation program will take this mix of new and used IT as its infrastructure. However, these are the raw ingredients exploited to great effect by England's PPP Healthcare. PPP Healthcare has implemented a workflow strategy, which is already delivering dividends by cutting out 'red tape' and increasing staff productivity. PPP Healthcare's mission is to supply its 2.3 million customers with the ultimate in service. In fact, so successful has its implementation been, that it now claims to have an infrastructure that is increasing customer loyalty with visible improvements in service
Size	Pages: 5 Size: 17KB

Article	Red Ball Oxygen Company, LA
	North America Excellence Awards: Imaging, Finalist (1997). Nominated by Minolta Corp.
	Red Ball distributes industrial gas cylinders to the welding supply industry and also, through a medical division, to hospitals, clinics and home users of oxygen in a territory of approximately a 150-mile radius from its headquarters The firm has 100 employees, seven branches and 5,000 active customers. Accounting for the delivered cylinders is important not only because the cylinders represent a company asset, but also because of government regulations associated with the cylinder's content. They discovered that imaging was one of the ways to accomplish this objective.
Size	Pages: 3 Size: 16KB

Article	Trigon Blue Cross Blue Shield, VA
	North America Excellence Award: Imaging, Silver (1995) . Nominated by Eastman Software with integration by ICG
	Trigon utilizes OPEN/image and OPEN/workflow technology for the automation of its Health Claims processing that supports its seven Strategic Business Units (SBU) and their approximate 65 associated Dedicated Service Units (DSU) The system supports more than 600 users (primarily Trigon's Health Claims Representatives (HCR) and Medical Advisors with plans to extend to 1,000. A typical health insurance claims is one to two pages in length and the system today provides access to more than 12 million documents electronically. The typical daily volume is 30,000 claims, or approximately 60,000 documents processed. The process begins in the mail room for the input of claims where they are scanned and OCR'd into the workflow and imaging system.
Size	Pages: 14 Size: 51KB

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