Today's health insurance landscape presents a myraid of unique business challenges. Perficient's dedicated national healthcare practice, combined with more than 1,600 business and technology professionals, deliver innovative and intelligent solutions to meet the challenges faced by health plans.

With more than160 healthcare clients, Perficient's award-winning team of technology and business consultants have a long history in the implementation of information management projects using industry-leading platforms. We have provided information management services to some of the leading BCBS organizations including:

Our past experience with these BCBS clients provides us with insight into your unique challenges. Our solutions include:

System Integration, Remediation and Compliance

• 5010 Performance Tuning: Perficient’s HIPAA 4010 to 5010 solutions are designed for the full scope of effort within your organization including: assessment, development, implementation and testing. Our experienced team understands the key 5010 transaction types, the nuances of setting up trading partners and methods of performance testing to insure important service level agreements are met.
• ICD-10 Implementation: Perficient is positioned to start with your 4010 to 5010 migration and then move forward into your ICD-10 remediation projects. We believe in attacking ICD-10 with a phased roadmap of coordinated projects beginning with a careful analysis of your healthcare IT applications through planning the cultural transition on using the expanded code set. Our solution is custom tailored to fit your environment, staff and timing needs.

Business Intelligence and Analytics

• Healthcare Enterprise Data Roadmaps: Leveraging your data to its fullest potential requires a pragmatic, yet flexible plan. Understanding where you are, where you need to be and how to get there is critical in ensuring the journey is as efficient as possible. The creation of an enterprise roadmap provides the framework for the creation of a world-class data environment.
• Predictive Analytics: Data can be a strategic enterprise asset that health plans can use to monitor and control costs. Using of predictive analytics to drive well-defined and managed enterprise data can offer a health plan with a wide range of organizational benefits.
• Data Governance: Electronic health records, 4010/5010 and ICD-9/ICD-10 conversions, standardizing technology platforms and integrating data for analysis all require an enterprise view to truly realize the benefits of technology investments. Having a strategic data governance plan in place is a critical component for success.
• Master Data Management: Master data is the cement that ties the organization’s data foundation together. Many organizations are facing a master data challenge as they move to standardize their systems, perform 4010/5010 migrations and prepare for ICD-10. As health plans move towards an enterprise view of their data, ensuring the consistency of such things as member indexes, physician masters, and diagnosis codes will be critical.

Portal Collaboration

• Member Portals: In light of market growth and the growing ranks of the self-insured, Perficient can help your organization take advantage of the advent of Consumer-Driven Healthcare by using technology to connect with members in a meaningful way.
• Clinician Portals: Provide clinicians with 360-degree management tools that address issues of recredentialing, re-contracting and changes in practice information. Perficient's healthcare collaboration solutions can also help your organization collaborate with clinicians for complex treatment options, eligibility verification, authorization for specialty services or procedures, specialist referrals, claim submission, claim status request, and claim paymentstatements.
• Insurance Broker Portals: Collaboration tools can provide insurance brokers with a single access point for service producers, marketing and sales tools, contract maintenance, and statistical analysis.  Portals also provide brokers with the ability to evaluate products and services that are customized and priced accurately as well as incentive and commission analysis, tracking, and payment information.