Health Plan Chooses RelayHealth for Reduced Operational Complexity, Greater Provider Alignment

RelayHealth PCS “a game changer” claims customer

UCare, an independent, nonprofit health plan providing health coverage and services to more than 230,000 members in Minnesota and western Wisconsin, has selected RelayHealth as their exclusive provider for member claims management to enhance operational efficiency and improve health plan provider alignment.

RelayHealth’s Payer Connectivity Services (PCS) supports health plans’ efforts to collaborate with
providers for administrative simplification, and to manage the transition to HIPAA 5010. PCS enhances claims workflow and reduces operational complexity. Additionally, PCS advanced customization gives health plans the flexibility to deploy industry standard and payer specific business rules to reduce manual intervention.

“RelayHealth is a strategic partner who understands the business needs of today’s health plans,” stated Rob Beauchamp, CIO, UCare. “RelayHealth PCS is a game changer that will allow us to be more agile with regulatory changes and to deliver new electronic services to our providers.”

“Health plans are increasingly reaching out to RelayHealth because they’re concerned with their ability to effectively serve their providers,” said Dave Mason, senior vice president, general manager, RelayHealth Financial Solutions. “In the face of healthcare reform, the traditional solutions and vendors are not meeting the current or future needs. Health plans want to deliver greater value. They need to lower costs while enhancing service.”

Mason continued, “UCare is a forward looking health plan with a strong commitment to member service and operational excellence. Their decision to expand their relationship with RelayHealth and deploy PCS highlights a trend among health plans to streamline connectivity to deliver better service to members and providers.”

About UCare

UCare (www.ucare.org) is an independent, nonprofit health plan providing health care and administrative services to more than 230,000 members. UCare partners with health care providers, counties, and community organizations to create and deliver innovative health coverage products for:

• Individuals and families enrolled in income-based Minnesota Health Care Programs, such as
• MinnesotaCare and Prepaid Medical Assistance Program.
• Adults with disabilities and Medicare beneficiaries with chronic health conditions.
• Minnesotans dually eligible for Medical Assistance and Medicare.
• Medicare-eligible individuals throughout Minnesota and in western Wisconsin.

UCare addresses health care disparities and care access issues through its UCare Fund grants and a broad array of community initiatives. The health plan received Top Workplaces honors in 2010 and 2011 from the Star Tribune of Minneapolis/St. Paul.

About RelayHealth
RelayHealth, McKesson’s connectivity business, operates as a neutral partner in an open network environment, offering connectivity services and integration among all organizations, systems, and solutions. Its intelligent network is designed to streamline clinical, financial and administrative communication between patients, providers, payers, pharmacies, pharmaceutical manufacturers, and financial institutions. RelayHealth works to accelerate the delivery of high-quality care and improve financial performance through solutions such as online consultation of physicians, electronic prescribing, point-of-service pharmacy claims resolution by payers. RelayHealth securely processes more than 12.8 billion financial and clinical transactions annually. For more information, call 888.743.8735, or visit our Web site at www.RelayHealth.com. Follow us on Twitter (@RelayHealth) or visit the RelayHealth Facebook page.

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