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Blue Cross Introduces New Interactive Internet Service for Members; New Technological Advances Demonstrate Commitment to Meeting Members' Changing Health Care Needs.


WOODLAND HILLS, Calif.--(BW HealthWire)--Nov. 19, 1998--Blue Cross of California, the California subsidiary of WellPoint Health Networks Inc., one of the nation's largest publicly traded managed care companies, has introduced new interactive, self-service capabilities for members through the company's Web sites.

Blue Cross members now have direct access to their individual medical claims and benefit and eligibility data, in addition to information on providers that has been available through Blue Cross of California Web sites since January 1997.

The new self-service option, available through any Internet provider Internet provider - Internet Service Provider  in combination with various browsers, enhances Blue Cross' informative source for all of the company's products and services. Members are given live access to membership and claims information from Blue Cross' mainframe system.

The interactive Web site is built on the same client-server architecture client-server architecture

Architecture of a computer network in which many clients (remote processors) request and receive service from a centralized server (host computer).
 as Blue Cross' customer service system, CallCare. This capability gives members and customer service representatives concurrent access The ability to gain admittance to a system or component by more than one user or process. For example, concurrent access to a computer means multiple users are interacting with the system simultaneously.  to identical information. It also allows members to send e-mail messages to customer service representatives, which are automatically routed to specifically designated customer service areas.

Blue Cross has taken steps to ensure that members' claims data remain secure. Members are issued individual personal identification numbers (PINs), similar to those used for banking transactions, that are required in the use of any transaction. In addition, the data sent to members online is encrypted using Secure Sockets Layer (networking, security) Secure Sockets Layer - (SSL) A protocol designed by Netscape Communications Corporation to provide secure communications over the Internet using asymmetric key encryption.  (SSL (Secure Sockets Layer) The leading security protocol on the Internet. Developed by Netscape, SSL is widely used to do two things: to validate the identity of a Web site and to create an encrypted connection for sending credit card and other personal data. ).

SSL encrypts, or scrambles to prevent interception by outside parties. Customer service representatives are not given access to members' PINs, an additional measure designed to ensure members' maximum privacy and protection.

"We continue to implement products and services that respond to the changing needs of our members' health care," said Ron Williams, Blue Cross of California president. "This new capability was designed to save members time by reducing telephone inquiries typically made to customer service departments or human resources departments. It also ensures immediate responses to inquiries," said Williams.

The Web sites were designed to meet the individual needs of members. Employees of companies with more than 50 employees can access member self service at www.bluecrossca.com. Any member employed by a company with 50 or fewer employees, or who has purchased an individual policy, can access services through www.bluecrossofcalifornia.com.

Other self-service options that are currently available to members (depending on plan design) on the Web sites include:

-- Summary benefits for subscribers and members, including

co-payments, deductibles and benefit maximums

-- Details on primary medical group and primary care physicians for

CaliforniaCare HMO HMO health maintenance organization.

HMO
n.
A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial,
 members

-- Status of outstanding medical claims and on-line explanation of

benefits

-- Provider directories and maps with driving instructions

-- Download printable versions of member and prescription drug prescription drug Prescription medication Pharmacology An FDA-approved drug which must, by federal law or regulation, be dispensed only pursuant to a prescription–eg, finished dose form and active ingredients subject to the provisos of the Federal Food, Drug,  claim

forms

-- Glossary of health insurance-related terms

Blue Cross of California, with nearly 4.4 million medical members, is the California operating subsidiary of WellPoint Health Networks Inc., one of the nation's largest publicly traded managed care companies. WellPoint serves the health care needs of more than 6.8 million medical and more than 24 million specialty members nationally.

WellPoint offers a broad spectrum of quality network-based health products including HMO, PPO PPO
abbr.
preferred provider organization


PPO Managed care Preferred provider organization, see there Infectious disease Pleuropneumonia-like organism, see there
, POS (1) See point of sale and packet over SONET.

(2) "Parent over shoulder." See digispeak.

POS - point of sale
 and specialty managed care products. Specialty products include pharmacy benefit management A Pharmacy Benefit Manager (PBM) is a third party administrator of prescription drug programs. They are primarily responsible for processing and paying prescription drug claims. , dental, utilization management, vision, mental health, life and disability insurance, flexible spending accounts flexible spending account,
n an employee reimbursement account primarily funded with employee-designated salary reductions. Funds are reimbursed to the employee for health care (medical and/or dental), dependent care, and/or legal expenses and are
, COBRA administration and Medicare supplements.
COPYRIGHT 1998 Business Wire
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 1998, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Publication:Business Wire
Geographic Code:1U9CA
Date:Nov 20, 1998
Words:539
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