SRS and Blue Cross Blue Shield Integration for Insurance Eligibility and Claims Processing

Connect your systems: Your AI Deployment Engineer works with your organization to securely connect SRS Health with Blue Cross Blue Shield's payer platforms, mapping critical data fields including patient identifiers, member ID numbers, coverage details, benefit information, authorization requirements, and claims data elements. Define the workflow: Specify the exact automation workflows your organization needs – real-time eligibility checks at appointment scheduling, automated prior authorization submissions for services requiring approval, and streamlined claims submission with supporting documentation for faster adjudication. AI Employees take over: Once deployed, AI Employees automatically query Blue Cross Blue Shield systems when patients schedule appointments in SRS, verify active coverage and applicable benefits, submit prior authorization requests when required, and generate clean claims with complete information immediately following documented encounters. Monitor performance transparently: AI Judges continuously monitor eligibility verification accuracy, track authorization approval rates and turnaround times, analyze claim acceptance and denial patterns, and provide detailed reporting on revenue cycle performance metrics with complete audit trails for compliance purposes. Scale to more workflows: Expand your automation footprint to include payment posting from remittance advice, denial management and appeals processing, patient responsibility calculation and billing, and coordination of benefits for patients with multiple coverage sources.