Preferred Provider Organization Achieves New Efficiencies in Claims Repricing, Customer ServiceEL SEGUNDO, Calif., March 2, 2004 – Computer Sciences Corporation (NYSE: CSC) announced today that its PowerSTEPP software has improved claims processing for PPOM, the Midwest’s largest independent preferred provider organization (PPO). Since implementing PowerSTEPP, PPOM has increased its ability to automatically match 99 percent of providers and 90 percent of members on incoming claims. As a result, PPOM has increased overall automatic claims adjudication by 25 percent, while increasing claims processing productivity by more than 30 percent.
PowerSTEPP is an integrated, enterprise-level system that provides health plan administration, claims processing, integrated workflow, medical management and decision-support capability for PPOs, health insurers, managed care organizations and healthcare administrators. PPOM is using PowerSTEPP to automate the receipt of claims from providers in its network, reprice claims according to its network arrangements, and send claims electronically to payers for rapid adjudication. With PowerSTEPP’s repricing automation, workflow and system navigation features, PPOM is able to process transactions, manage workload and respond to payer, provider and member issues more efficiently.
“By fully automating the repricing of claims, PowerSTEPP is already making us more competitive,” said Chris Crowley, chief operating officer at PPOM. “With our increased processing speed and accuracy, we can offer the best possible service to our payer and provider partners.”
“With the investment in PowerSTEPP, PPOM is strengthening relationships across the healthcare value chain,” said Steve Sabino, vice president of CSC’s Health Plan Solutions organization. “PPOM’s payer customers can now take advantage of lower medical and administrative costs to offer more attractive healthcare benefit plans and lower healthcare premiums. Healthcare providers and consumers also benefit from faster reimbursement for medical services.”
For more than 25 years, CSC has delivered applications and outsourcing services that help health plans, PPOs, third-party administrators and physician practices improve efficiency, reduce operational costs, increase speed to market, and improve customer service and care management. CSC’s applications, application service provider and business process outsourcing services support more than 300 healthcare organizations, representing 30 million covered lives and 150 million claims annually.
About PPOMPPOM is the largest independent preferred provider organization in the Midwest, with more than 40,000 healthcare providers and 300 hospitals in its regional network that includes Michigan, Ohio and Indiana as well as parts of Wisconsin, Illinois and Kentucky. One million people have access to the PPOM provider network through their insurance carriers or self-funded health plans for group, auto/personal injury protection and workers' compensation medical services. For more information about PPOM, visit
www.ppom.com.
About CSCFounded in 1959, Computer Sciences Corporation is a leading global information technology (IT) services company. CSC’s mission is to provide customers in industry and government with solutions crafted to meet their specific challenges and enable them to profit from the advanced use of technology.
With approximately 90,000 employees, CSC provides innovative solutions for customers around the world by applying leading technologies and CSC’s own advanced capabilities. These include systems design and integration; IT and business process outsourcing; applications software development; Web and application hosting; and management consulting. Headquartered in El Segundo, Calif., CSC reported revenue of $13.8 billion for the 12 months ended Jan. 2, 2004. For more information, visit the company’s Web site at
www.csc.com.
