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As Highmark Blue Shield, it is available in 21 counties in Central Pennsylvania and the Lehigh Valley. It also has a presence in the border areas of eastern Ohio, and all of West Virginia through its subsidiary, Highmark Blue Cross Blue Shield West Virginia. Highmark acquired Blue Cross of Northeastern Pennsylvania, BCNEPA, in June 2015. [4] [5]
Founded in 1948, [26] Arkansas Blue Cross Blue Shield (ABCBS) [27] is an independent licensee of the Blue Cross Blue Shield Association, and the largest healthcare provider in the state. [28] It donated $1.98 million to The Walton College of Business toward founding its Robert L. Shoptaw Master of Healthcare Business Analytics Program. [ 29 ]
In 1752, Benjamin Franklin founded the first American insurance company as Philadelphia Contributionship.In 1820, there were 17 stock life insurance companies in the state of New York, many of which would subsequently fail.
In June 2011, the boards that led Highmark Inc. and West Penn Allegheny Health System announced a “capital partnership” in which Highmark would invest $475 million in WPAHS, including an upfront $50 million payment that kept the doors open at West Penn Hospital. [100] In 2013, the proposed acquisition became official. [2]
In 1995, The Associated Group acquired Community Mutual Insurance, a provider of Blue Cross and Blue Shield insurance plans in Ohio with over 1.9 million policy holders), then set up Anthem Blue Cross and Blue Shield. [16] [17] In 1996, The Associated Group changed its name to Anthem Insurance Company. [17]
UPMC's provider networks total more than 138 hospitals and more than 16,500 physicians across Pennsylvania and has around three million members making it the largest insurer in Western Pennsylvania. [54] [55] It is also ranked as one of the top commercial health plans in the United States according to U.S. News & World Report. [56]
The company was founded in 1936 and is based in Chicago, Illinois with a network of offices in the United States. Health Care Service Corporation is the licensee of the Blue Cross and Blue Shield Association for five states. It concentrates its operations in Illinois, Montana, New Mexico, Oklahoma, and Texas.
It is up to the application receiving the incoming claim to map the is/is not claims to the may/may not rules of the application. In traditional systems there is often confusion about the differences and similarities between what a user is/is not and what the user may/may not do. Claims-based identity makes that distinction clear.