La Cruz Azul de Puerto Rico Unveils New eClaims Tool

Mount Pleasant, S.C. & San Juan, Puerto Rico – Jan. 23, 2006 – La Cruz Azul de Puerto Rico, the Blue Cross of Puerto Rico, has selected Benefitfocus.com, Inc. to administer medical claims electronically through its innovative eClaims system.

Benefitfocus® eClaims is newly developed functionality that gives members the ability to log in and view claims, explanation of benefits, deductibles and out of pocket expenses through La Cruz Azul’s Web portal. “eClaims is similar to invoice presentment,” says Annie Mueller, director of eBilling for Benefitfocus. “One major difference is that it is created specifically for subscribers instead of group administrators. The system will display 18 months of claims history, which is an important feature for members.”

“Claims are a paper-intensive process that, with Benefitfocus, can be made easily available via the Internet,” said Hector Moreno, Senior Vice President of Sales and Marketing for La Cruz Azul de Puerto Rico. “We’re making transparent to subscribers information that is currently only available in our internal claim system or on paper.”

Although La Cruz Azul is the only client who has required the functionality, several of Benefitfocus’ Blue Cross Blue Shield partners have indicated a need for the electronic claims management technology. As an example of how Benefitfocus’ partnership with 14 Blue plans benefits its entire pool of clients, carriers who currently partner with Benefitfocus will have access to the eClaims tool. Because the enrollment and billing software is fully integrated, their groups can view their claims information and pay their bill online at one time. Carriers are also confident that eClaims will be helpful for members with individual policies.

About La Cruz Azul

La Cruz Azul de Puerto Rico, Inc. is a leading provider of employee health care benefits and insurance. For over 60 years La Cruz Azul de P.R. Puerto Rico, Inc. (LCA) has served Puerto Rico. LCA is a stock corporation organized under the provisions of the Insurance Code of Puerto Rico licensed to issue disability insurance, including health insurance policies. Its major stockholder is Independence Blue Cross Blue Shield (IBC) of Philadelphia (ranked 7th among all health insurance carriers in the US). IBC and LCA are members of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield plans, which provides health care coverage to more than sixty-five (65) million members. It strives to provide its members affordable health care solutions in the most efficient manner possible. It is committed to service excellence and to the continuous improvement of our organization as it establishes the gold standard for the industry. La Cruz Azul can be reached at 787.272.7825.

About Benefitfocus

Benefitfocus.com, Inc. (Benefitfocus) is a leading provider of benefits administration software and services, offering employees and employers access to all benefits and human resource information securely over the Internet. Linking this data to payroll vendors and benefit providers, Benefitfocus applications seamlessly exchange data, therefore reducing errors and costs associated with traditional paper-based forms. Benefitfocus applications are designed to make companies more efficient, cost-effective, and more focused on delivering actual benefits instead of spending time on undue paperwork. The company is headquartered in Mount Pleasant, SC (Charleston), and has an established client base of over 8,000 corporate employers in all fifty states.

 
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