FOR IMMEDIATE RELEASE
Matt Montague, (614) 791-1600
PricewaterhouseCoopers leads project to improve health care claims filtering and repair
Columbus, OH, July 11, 2005 – The Veterans Health Administration (VHA), with the assistance of PricewaterhouseCoopers, has put Foresight Corporation’s InStream® solution into production to validate health care claims transactions against HIPAA and other guidelines, filter out and return claims with errors, and speed the repair and resubmission of these bad claims. The VHA is America’s largest health care delivery network.
InStream pre-screens thousands of VHA claims daily, finding and splitting out the few bad claims from their batches, and sending reports on these failed claims to the VHA’s billing departments. There, InStream’s “plain English” reports speed the process of retrieving the bad claims, correcting the errors, and resubmitting them to the VHA’s processing system.
“InStream detects data quality errors before they are sent on to trading partners. Analysis of the InStream error report allows for correction of data sources and the identification of systemic problems. This ultimately results in not only the correction of the current error, but also the prevention of future problems,” Jack Joseph, Manager, Healthcare Advisory Practice, PricewaterhouseCoopers, said.
“Health care organizations seek a return on their investment in HIPAA standardization,” Robert Fisher, Foresight CEO, said. “InStream helps payers and their EDI trading partners meet this business goal by ensuring regulatory compliance and, at the same time, improving their transaction processing operations.”
About the VHA
The mission of the Veterans Healthcare System is to serve the needs of America's veterans by providing primary care, specialized care, and related medical and social support services. To accomplish this mission, VHA needs to be a comprehensive, integrated healthcare system that provides excellence in health care value, excellence in service as defined by its customers, and excellence in education and research, and needs to be an organization characterized by exceptional accountability and by being an employer of choice.
About Foresight Corporation
More than half of all Blue Cross/Blue Shield organizations trust Foresight Corporation’s transaction automation systems to provide insight into business operations while securing HIPAA compliance, shortening revenue cycles, reducing costs and improving provider relations. Since 1990 Foresight has helped its customers build networks compliant with government, industry, and organization standards, connect partners, validate transactions, and filter them for fast and easy repair. Today Foresight is the leader in transaction automation and pioneer of the first just-in-time business intelligence techniques for healthcare. For more information, visit the company at www.foresightcorp.com or call 1.888.500.0800.
InStream is a registered trademark of Foresight Corporation.
Unless otherwise indicated, "PricewaterhouseCoopers" refers to PricewaterhouseCoopers LLP, a Delaware limited liability partnership. PricewaterhouseCoopers LLP is a member firm of PricewaterhouseCoopers International Limited.
Back to Portfolio News