Blue Cross and Blue Shield Service Benefit Plan.
Case Management.
Case management is a service provided to evaluate an individual’s health needs and to coordinate care for our members who are experiencing complex care and treatment. Case managers work with our member’s and the member’s health providers to coordinate certain services on the member’s behalf. Local Blue Cross and Blue Shield Plans accept referrals and identify members who may benefit from the case management process. The case management process includes screening, multidimensional assessment, care planning, implementation of the plan, monitoring, and reassessment, all in collaboration with the member and the involved caregivers.
URAC, the American Accreditation HealthCare Commission, Inc, awarded the Blue Cross Blue Shield Association Service Benefit Plan accreditation for its Service Benefit Plan case management program beginning in 2002. The case management program maintains continuous URAC accreditation.
You can call the local Blue Cross and Blue Shield Plan at the customer service number on the back of your ID card for more information about case management and what case management can do to assist you.