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Medi Cal claims flood Blue Shield computer system
A San Francisco report explains that Blue Shield processes about 70,000 Medi Cal claims daily, totaling over 1.4 million monthly and 18 million yearly. The piece outlines how claims are coded, reviewed, and stored, and how the state’s surveillance bureau monitors for irregularities while facing lengthy investigation gaps.
MENTIONED IN THIS ARTICLE
San Francisco
Office of California Physicians Service
Blue Shield
Medi-Cal
California
Francisca
Office of Health Care Services
HCS
Sacramento
Program Surveillance Bureau
Antoinette Covington