Health Plan Chooses RelayHealth for Reduced Operational Complexity, Greater Provider Alignment

RelayHealth PCS “A Game Changer” Claims Customer

ATLANTA--(BUSINESS WIRE)-- UCare, an independent, nonprofit health plan providing health coverage and services to more than 230,000 members in Minnesota and western Wisconsin, has selected RelayHealth as their exclusive provider for member claims management to enhance operational efficiency and improve health plan provider alignment.

RelayHealth’s Payer Connectivity Services (PCS) supports health plans’ efforts to collaborate with providers for administrative simplification, and to manage the transition to HIPAA 5010. PCS enhances claims workflow and reduces operational complexity. Additionally, PCS advanced customization gives health plans the flexibility to deploy industry standard and payer specific business rules to reduce manual intervention.

“RelayHealth is a strategic partner who understands the business needs of today’s health plans,” stated Rob Beauchamp, CIO, UCare. “RelayHealth PCS is a game changer that will allow us to be more agile with regulatory changes and to deliver new electronic services to our providers.”

“Health plans are increasingly reaching out to RelayHealth because they’re concerned with their ability to effectively serve their providers,” said Dave Mason, senior vice president, general manager, RelayHealth Financial Solutions. “In the face of healthcare reform, the traditional solutions and vendors are not meeting the current or future needs. Health plans want to deliver greater value. They need to lower costs while enhancing service.”

Mason continued, “UCare is a forward looking health plan with a strong commitment to member service and operational excellence. Their decision to expand their relationship with RelayHealth and deploy PCS highlights a trend among health plans to streamline connectivity to deliver better service to members and providers.”

About UCare

UCare (www.ucare.org) is an independent, nonprofit health plan providing health care and administrative services to more than 230,000 members. UCare partners with health care providers, counties, and community organizations to create and deliver innovative health coverage products for:

  • Individuals and families enrolled in income-based Minnesota Health Care Programs, such as MinnesotaCare and Prepaid Medical Assistance Program.
  • Adults with disabilities and Medicare beneficiaries with chronic health conditions.
  • Minnesotans dually eligible for Medical Assistance and Medicare.
  • Medicare-eligible individuals throughout Minnesota and in western Wisconsin.

UCare addresses health care disparities and care access issues through its UCare Fund grants and a broad array of community initiatives. The health plan received Top Workplaces honors in 2010 and 2011 from the Star Tribune of Minneapolis/St. Paul.

About RelayHealth

RelayHealth, McKesson’s connectivity business, enables the secure exchange of clinical, financial and administrative information between patients, providers, payers, pharmacies, pharmaceutical manufacturers and government agencies. RelayHealth processes nearly 15 billion healthcare transactions annually by integrating the delivery of high-quality care and improving the financial outcomes for its customers. For more information, call 888-743-8735, or visit our Web site at www.RelayHealth.com. Follow us on Twitter (@RelayHealth) or visit the RelayHealth Facebook page.



CONTACT:

RelayHealth
Marchell Gillis, 770-237-7505
[email protected]

KEYWORDS:   United States  North America  Georgia  Minnesota  Wisconsin

INDUSTRY KEYWORDS:   Health  Other Health

MEDIA:

Suggested Articles

The profit margins and management of Community Health Group raise questions about oversight of managed care insurers.

Financial experts are warning practices about the pitfalls of promoting medical credit cards to their patients.

A proposed rule issued by HHS on Tuesday would expand short-term coverage, a move Seema Verma said will have "virtually no impact" on ACA premiums.