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Minn. Blue Uses Pegasystems Product

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Blue Cross Blue Shield of Minnesota will be using a health claim editing system from Pegasystems Inc.

Minnesota Blue, Eagan, Pa., needs the system to accommodate new claim handling guidelines established by the Blue Cross and Blue Shield Association, Chicago, according to Pegasystems, Cambridge, Mass.

The new guidelines will require Minnesota Blue to accept longer claim submissions and claim submissions that provide more precise dollar amounts, Pegasystems says.

Minnesota Blue will use the Pegasystems Claims Repair Solution Framework system to review incoming claims and prepare them so that they can be handled more quickly by claim processing systems, Pegasystems says.


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