Providers in several states with overlapping Blue Cross Blue Shield (BCBCS) payers have options for submitting their claims.
We’ve built the first and only fully automated pre-bill and post-bill Blue Card solution that ensures both hospital and physician claims are sent to the highest-reimbursing BCBS payer on the first submission. We've increased collections up to $8 million annually for medium-sized hospitals.
CASE STUDY
Some BCBS payers offer higher rates than others, but it can be difficult for hospitals with multiple Blue Card options to know where to submit for the highest reimbursement.
Knowtion’s Blue Card solution automatically and proactively routes claims to the highest-paying payer, increasing topline revenue and reducing labor costs.
One health system saw its Blue Card payment opportunities increase from $2.1M to $3.4M in just one year.
Secondary reviews of HB and PB claims from 2022 to 2023 resulted in $5M in found revenue.
