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 Information Management & 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

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

Contact us to learn more about our Blue Cross Blue Shield Solutions…

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

Blues-Focused Solutions

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