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BCBS of Tennessee - Closing the Gaps: A Data-Driven Medical Reimbursement Application

To ensure BlueCross BlueShield of Tennessee gives providers every opportunity to succeed, they built a web-enabled mobile application allowing the provider to assess, verify, and close out gaps in care for the members they serve. The solution is both real-time and bi-directional with write-back to the Teradata database. All of the data processing is pushed into Teradata. During this presentation, BlueCross BlueShield of Tennessee will discuss their Quality Rewards (i.e., P4G) program and demonstrate the application, including a description of the architecture underneath the application and the write-back features.