Blue Cross And Blue Shield

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Course Project: Blue Cross and Blue Shield Jacqueline Cohen DeVry University HIT 120 Michelle LeVack Course Project: Blue Cross and Blue Shield Course Project: BLUE CROSS AND BLUE SHIELD Blue Cross and Blue Shield headquarters is located in Chicago, Illinois. The Blue Cross Blue Shield Association (BCBSA) is a federation of 36 separate United States health insurance organizations and companies, providing health insurance to more than 106 million Americans today. Blue Cross was founded in 1929, and became the Blue Cross Association in 1960, while Blue Shield emerged in 1939 and the Blue Shield Association was created in 1948. The two organizations merged in 1982. Blue Cross and Blue Shield developed separately, with …show more content…

Getting the right information and protecting the privacy of patient’s medical records is very important to BCBS, so how medical information is used and disclosed is valued and protected. Medical information may be used and disclosed by BCBS for purposes of treatment, payment and health care operations. A patient’s medical record may also be disclosed to physicians or other health care professional to help him or her provide treatment. BCBS may use members/patient medical information for different forms of payment: Paying claims from physicians, hospitals and other health care providers, obtaining premiums, issuing explanations of benefits to the named insured, providing information to health care professionals or other entities for their payment activities. BCBS may use or disclose medical information in conducting health care operations, including: Quality assessment and improvement activities, reviewing the qualifications of healthcare professionals, compliance and detection of fraud and abuse, underwriting, enrollment and other activities related to creating, renewing or replacing a plan of benefits; providing information to another entity bound by the Federal Privacy Rules for its health care operations. BCBS may share your medical information to a family member, friend or other person for him or her to assist with your health care or payment for your health care. Employers may use the health information from BCBS

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