Western Health Advantage Implements PSIGEN PSIcapture to Enforce HIPAA Compliance and Improve Customer Service HMO Claims Management and HIPAA

Western Health Advantage (WHA) is a full-service, not-for-profit health care plan operating in Northern California in Sacramento, Yolo, Solano, Western El Dorado and Western Placer counties. They offer a variety of health care products and services to meet the needs of patients and employers. WHA features some of the region’s premiere medical professionals, giving their members access to more than 800 primary care providers and more than 1,400 specialty care providers. WHA also maintains a complete network of specialty physicians who have admitting privileges at some of the top facilities in the region.

The Problem

Like any other healthcare organization, Western Health deals with an endless flow of paper everyday. The main focus of the initial project was claim forms. The company had chosen to outsource the scanning of these forms to a vendor, and initially this was a great solution. But as claim volume increased and their membership began to grow, the turnaround time for scanning claims was up to three days and the delay was unacceptable.

Along with claims, many other departments had expressed interest in scanning and maintaining documentation for compliance reasons, as well as ease of access.


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SOURCE PSIGEN

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