Electronic Funds Transfer

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Electronic Funds TransferElectronic Remittance
Advice

• Bart Strickland
• Director,
• Commercial EDI Services
• BlueCross BlueShield of SC

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The Goal

• Eliminate Costs of Paper Remits
• Printing
• Handling
• Mailing
• Support

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Reality Check

• Low to Zero adoption of the 835
• Low to Zero adoption of EFT
• Management concerned about provider backlash to
  paperless environment
• Must achieve break even quickly to maintain
  internal support

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Challenges

• Resistance from the provider community
• Lack of understanding of value
• No push from provider management
• Trust
• Compliant vs. Operationally Efficient
  Transactions
• Current state of the provider community was
  widely varied different formats, processes,
  etc.
• Trading Partner delays
• Low availability of Internal IT resources due to
  other priorities

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The Push

• Start with the hospitals
• Get support of local Association (SCHA)
• Develop a foundation of trust
• People, Service, Profit
• Use real data in demonstrations
• Focus on provider problems-create solutions
• Eliminate barriers and obstacles
• Eliminate Fear

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Critical Success Factors

• Must have senior level support in the provider
  organization
• Must remove costs not shift them
• Must be able to make adjustments quickly
• Continuously improve the solution
• Use testimonials to build trust and create
  competition among providers

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Our Approach

• Focus on adoption from a provider perspective
• Face-to-face what do you need? meetings
• Create a tool that utilizes 835 data to solve
  providers problems
• No one off development
• Create a mutually beneficial trade that creates
  ROI
• Partner well to deliver the solution

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My Remit Manager

• Non-invasive
• Workflow agnostic
• Easy adoption
• Excellent reporting
• Facilitates provider Self Assistance including
  enrollment and support

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MyRemitManager Report Selection Excellent
Reporting Capability
Claim Receipt by Channel
Claim Receipt by Channel
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The Results Thus Far

• 100 of SC Institutional Providers have been
  converted to the 835
• 100 of SC Institutional Providers are utilizing
  EFT
• 75 have turned off hard copy paper remits

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BCA Provider Satisfaction Survey Most Improved
2005
Overall Satisfaction Local Business
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Provider Feedback
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"We are so excited over the Remit Manager Web
Site. I have already shown it to several of our
employees and they are thrilled to be able to see
everything on line. Your employees should be
commended for all the hard work they have done to
bring easier, more simple processes to the
provider community. Thank you for not only
listening to us, but also for giving us a process
that solves many of our worries and delays in
getting timely payments. Please pass the
appreciation and "thank you" on to anyone who was
involved in this great implementation. Thank
you." Sandy Oliver Revenue Cycle
DirectorFairfield Memorial Hospital
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My remit manager is working wonderfully!! It
has cut our posting time by 4-8 hours. It makes
it so much easier to find the claims that did not
automatically post because we can just do a look
up by the account and see the entry instead of
trying to find the claim in a 200 page remit. It
has cut about a week off of mail time. Thank
you so much, Becky Shumpert Patient Financial
Services Lexington Medical Center
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I would like for you to know that we really do
enjoy using MyRemitManager. I have heard from
several people in my office how much time they
save by not having to pull remittances. Thank
s, Linda Browning Business Office Manager Oconee
Memorial
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Within the first month we have reduced our staff
by one FTE. Others we have been able to
re-allocate to other areas that needed
attention. Bobby ManorBon Secours Roper St
Francis Hospital
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The world is round the destination is
just the beginning.