Pittsburgh — Thanks to two new real-time tools, Highmark providers now can assist discussions with Highmark members their out-of-pocket costs. Highmark, a Pittsburgh-based independent licensee of the Blue Cross and Blue Shield Association, says the tools, Real-Time Provider Estimation and Real-Time Claims Processing, are the first such tools in the region offered by an insurer. Some 250 providers across Highmark’s service area will begin using the real-time tools, which are designed to give providers the ability to set payment expectations with members during the initial roll-out period, which started in November.
With real-time capabilities, providers can send an electronic claim to Highmark and receive a response indicating the amount the Highmark member owes. Providers can use these tools prior to service or at the point of service, and then have the option to collect this payment or make payment arrangements with the member at the time services are received.
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