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Capital Health Plan Selects QCSI's QNXT(TM) System for Its Advanced Technologies, High Performance, Ease of Use and Reliability

Posted on: Tuesday, 30 August 2005, 12:00 CDT

Top 10 Medicare plan with excellent NCQA accreditation to implement QNXT System to achieve its targeted business outcomes

Quality Care Solutions Inc., (QCSI(R)), a leading provider of advanced information technology and enterprise application software and services for health insurers and benefits administrators, announced today that Capital Health Plan ("CHP") has selected QCSI's QNXT system and professional services to achieve its targeted business outcomes. CHP, an affiliate of Blue Cross Blue Shield of Florida and an Independent Licensee of the Blue Cross Blue Shield Association, is a not-for-profit health plan that provides health care coverage for more than 112,000 members in the Tallahassee, Fla., area.

CHP selected QNXT to administer its Medicare and Commercial HMO lines of business. QNXT will increase automation, and provide the flexibility CHP requires for provider contracting, benefit plans, and accurate and timely reporting.

Eric Smith, chief information officer of CHP, stated, "We needed a system that would not only meet our current needs, but that is also scalable to accommodate CHP's growth. QNXT is the optimum solution for CHP -- a fully integrated application with user-defined rules and a system architecture that will provide us with the flexibility and extensibility to meet our stringent short- and long-term business requirements."

Dave Engert, CEO of QCSI, stated, "Solid, flexible and scalable system infrastructure is critical to all health plans, particularly plans like CHP. We are honored that CHP selected QCSI, a recognized leader in claims platforms, as the platform of choice for CHP's future.

"QNXT will provide CHP with measurable results from a single, integrated, next-generation enterprise application system," continued Engert. "The power of QNXT technology and its ease of use will facilitate CHP's ability to control administrative costs, and allow CHP the freedom to focus its resources on maintaining high standards for member and provider satisfaction, enhancing member services and implementing preventative care initiatives."

About Capital Health Plan

Capital Health Plan ("CHP"), Tallahassee, Fla.'s only local health plan, is an affiliate of Blue Cross Blue Shield of Florida and an Independent Licensee of the Blue Cross Blue Shield Association. CHP has achieved "Excellent" accreditation from NCQA. A not-for-profit health plan, CHP provides health care coverage for more than 110,000 people in Florida's Leon, Gadsden, Wakulla and Jefferson counties. For more information, visit CHP's Web site at www.capitalhealth.com.

About QCSI

Cited by a global independent research company as a leader for health care claims platforms and claims platforms for consumer-directed health and claims platforms with integrated medical management, QCSI is empowering companies for "The Next Health Care Economy, Without Information Boundaries." The company is celebrating more than 10 years of delivering advanced technology enterprise solutions that empower health insurers and benefits administrators to automate health care administration, lower the cost of care and improve outcomes. QCSI enables health plans to reduce costs, improve customer service, increase profitability, expand market share and prepare for government regulations, including HIPAA. Our award-winning enterprise applications include the QNXT product family (Medical, Dental, Case Management, Accounts Receivable, View, and Connect), and the Web-based MyHealthBank suite (Transact, Direct, Navigator, and Finance), proven applications and solutions for the rapidly growing consumer-directed health care segment. Headquartered in Phoenix, QCSI can be contacted at 888-940-6432 or info@qcsi.com, or visit our Web site at www.qcsi.com for more information.

QNXT, QMACS, QCSI and MyHealthBank are trademarks or registered trademarks of QCSI. U.S. Patent No. 6,879,959. Other marks referenced herein are the service marks, trademarks or registered trademarks of their respective holders.

Source: Business Wire

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