2007 Excellus Creates EA and SOA Excellus Blue Cross Blue Shield Creates Enterprise Architecture and SOA Solution to Consolidate Disparate IT Systems Executive Overview When several Blue Cross Blue Shield programs in upstate New York merged‚ each organization brought its own business processes and IT systems to the new entity. Because they were so different‚ yet had to be consolidated‚ the new entity‚ Excellus Blue Cross Blue Shield‚ wanted to first implement a strong business analysis process
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Introduction The company I work for is Blue Cross Blue Shield of Minnesota (BCBS). BCBS of MN is a private non-profit corporation that provides health insurance services in Minnesota under a license with the Blue Cross and Blue Shield Association. BCBS also offers dental‚ vision‚ Medicare supplement coverage‚ as well as workers’ compensation insurance‚ health assessment‚ and health care management services. The organization is headquartered in Eagan‚ Minnesota and employs approximately 3‚700
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Trade Commission Act‚ 15 U.S.C. § 45 by engaging in unlawful act of price fixing. FTC alleged complaint that the IPA organized collective refused to deal with two health plans‚ Blue cross Blue Shield and United Health Care of Texas‚ terminated the contract with Blue Cross Blue Shield and threatened to terminate contracts with the United Health Care of Texas if the payer refuse to agree with their demand of raising reimbursement rate. As per demand‚ both plans increased their rates. Blue
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models are based on neural network technologies. What is the role of neural networks in predictive analytics? How can neural networks help predict the likelihood of future events. In answering these questions‚ specifically reference Blue Cross Blue Shield of Tennessee? Predictive analytics can be helped with neural networks when there is a very large quantity of information available for examination. Neural networks examine literally thousands of bits of information to find relationships and patterns
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org/wiki/List_of_companies_based_in_Minneapolis%E2%80%93Saint... 7/12/2013 List of companies based in Minneapolis–Saint Paul - Wikipedia‚ the free encyclopedia Page 2 of 3 ■ RSM McGladrey ■ The Toro Company (Fortune 1000 #936) ■ Thermo King Eagan ■ Blue Cross Blue Shield of Minnesota ■ Buffets‚ Inc. ■ Thomson ReutersPreviously known as Thomson West (West Publishing headquarters) Edina ■ ■ ■ ■ Alliant Techsystems Inc. (Fortune 1000 #539) Dairy Queen - A unit of Berkshire Hathaway Nash Finch Company (Fortune 500
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procedures to eliminate redundancy‚ streamline procedures‚ minimize costs‚ and elevate customer satisfaction. • Leverage abilities in problem solving and conflict resolution to achieve win-win outcomes. Professional Experience Blue Cross Blue Shield of Florida (BCBCFL)‚ Jacksonville‚ FL‚ 2000 to 2009 IT Tech Service Desk / Helpdesk Technician • Provided efficient and effective technical support to callers via Microsoft Remote Access. • Analyzed and swiftly resolved connectivity issues
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at Baylor University health care facilities. This was successful that they then expanded the offer to other Dallas employee groups. Then in 1982 Blue Cross merged with Blue Shield. This was beneficial because Blue Shield focused on physician care and Blue Cross focused on hospital care. The merging of Blue Cross Blue Shield made for an exceptional medical care plan for many individuals because they can get both hospital and physician services under one plan. In 1995 the 1973 Health Maintenance
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University of Phoenix Material Insurance Matrix Directions – Matrix For each type of insurance listed in the matrix‚ identity three functions‚ three coverage characteristics‚ and three companies that offer this type of insurance. |Type of Insurance |Functions |Coverage Characteristics |Companies That Offer It | |Auto |Protect the owner of the vehicle
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Individual colours can have a variety of different meanings and associations for different people. A colour that is favoured by one person‚ may be despised by another. The colour preferred by individuals is blue (Wiegersma & Van Loon‚ 1989). Although‚ it is preferred‚ it does not mean it is universally favoured. Understanding of blue comes from analysing different interpretations and associations people have with it. These different interpretations arise from varying cultures (Aslam‚ 2006)‚
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prescriptions to get filled * Communicate with Pharmacists and Supervisors to ensure medication orders are being filled properly and being sent to the correct people/address * Cooperate with Large Pharmaceutical corporations such as Blue Cross Blue Shield‚ Medicare‚ Anthem and G.I.H.A in order to file claims‚ and explain patients health plans Hsuperman Inc. Private Events
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