BLUE CROSS BLUE SHIELD OF NORTH CAROLINA VICE PRESIDENT REYNOLDS NAMED CHAIR OF CAQH INTEROPERABILITY INITIATIVE

WASHINGTON, DC - 2/15/06

CAQH, an alliance of the nation's leading health plans and networks working to simplify healthcare administration, announced today that it has named Harry L. Reynolds, vice president of HIPAA and information compliance officer at Blue Cross and Blue Shield of North Carolina (BCBSNC), Chair of its Committee on Operating Rules for Information Exchange (CORE) Steering Committee.

CAQH launched CORE in January 2005 to promote interoperability and improve provider access to eligibility and benefits information before or at the time of service using the electronic system of their choice for any patient or health plan.

Reynolds has 30 years of experience in technology and healthcare. He currently is responsible for information systems administration and planning, as well as coordinating large-enterprise compliance projects, at BCBSNC. In addition, Reynolds serves on the National Committee on Vital and Health Statistics' (NCVHS) Executive Subcommittee, Subcommittee on Privacy and Confidentiality, and is co-chair of its Subcommittee on Standards and Security.

"We are delighted that Harry Reynolds is lending his considerable expertise to our initiative as CORE prepares for market adoption of its Phase I rules," said Robin J. Thomashauer, CAQH executive director.

CORE is more than 80 industry stakeholders - health plans, providers, vendors, CMS and other government agencies, associations, regional entities, standard-setting organizations and banking industry experts. They are collaborating on a set of operating rules, modeled on those used in the banking industry to facilitate ATM banking, that will

  • Enhance interoperability between providers and payers
  • Streamline eligibility and benefits data transactions
  • Reduce the amount of time and resources providers spend on administrative functions - time better spent with patients.

Operating rules build on existing standards to make electronic transactions more predictable and consistent, regardless of the technology, thus promoting interoperability.

CAQH is a catalyst for industry collaboration on initiatives that simplify and streamline healthcare administration. CAQH solutions help promote quality interactions between plans, providers and other stakeholders, reduce costs and frustrations associated with healthcare administration, facilitate administrative healthcare information exchange and encourage administrative and clinical data integration. Visit www.caqh.org for more information.

Blue Cross and Blue Shield of North Carolina is a leader in delivering innovative health care products, services and information to more than 3.3 million members, including approximately 638,000 served on behalf of other Blue Plans. For 72 years, the company has served its customers by offering health insurance at a competitive price and has served the people of North Carolina through support of community organizations, programs and events that promote good health. Blue Cross and Blue Shield of North Carolina is an independent licensee of the Blue Cross and Blue Shield Association. Access BCBSNC online at www.bcbsnc.com.

CONTACT:
Chris McNamara
(202) 778-3271

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