Solutions-Title-BG

Proven Solutions for
Blue Cross Blue Shield Plans

No matter what your need, TMG Health has a proven solution for your Blue Cross Blue Shield plan. Our scalable solutions for Medicare Advantage, Medicare Part D, Managed Medicaid and Duals provide dependability, flexibility, and improved operational performance.

20

Blue Cross Plans served

4M

members served annually

6.1M

claims processed annually

2M

member & provider calls per year

TMG Health processes ITS Claims utilizing the Plan Connexion Blue Card ITS software hosting solution.

TMG Health Solutions for Blue Cross Blue Shield Plans

TMG Health’s legacy of business with Blue Cross Blue Shield plans includes more than 20 BCBS plans served. Our expert solutions for both national and independent plans enable you to:

  • Manage growth in your Medicare and Medicaid programs and maximize Health Care Reform opportunities
  • Improve member health and drive positive outcomes through the utilization of InformationManagement & Reporting
  • Control administrative costs and meet stringent Medical Loss Ratio requirements by providing predictable per member per month fees
  • Respond quickly to ever changing State and Federal regulations while maintaining strict Compliance goals
TMGHealth-Stats-Map-BCBS

TMG Health’s empirical experience in serving Blue Cross Blue Shield plans enables us to provide a tried and true, compliant solution for the following:

  • Managing the processes for the complex Dual Eligible Population
  • Processing ITS Claims
  • Supporting MTM Reporting Requirements
  • Optimizing Member Health Outcomes through the use of Robust Medical Management Tools
  • Providing Member-Focused Customer Service
  • Supplying Robust Analytics

Blues-Focused Solutions

BPO-Solutions-Thumb

TMG Health has a rich history of partnering and collaborating with large, multi-state and national health plans, providing.…

Download

Solutions Overview

Solutions-Overview-Thumb

TMG Health is the leading national provider of Business Process Outsourcing services for Medicare Advantage, Medicare Part D and…

Download
Contact our Sales Department

Teig Boyle
Vice President of Sales & Marketing

 (610) 878-9111 ext. 21223
 tboyle@tmghealth.com