1 How to look up BCN members in Health e-Blue SM The steps to follow… James Haskins Blue Care Network June 8, 2012 Updated August 2012.

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Presentation transcript:

1 How to look up BCN members in Health e-Blue SM The steps to follow… James Haskins Blue Care Network June 8, 2012 Updated August 2012

2 Access Health e-Blue. 1 2 Click on BCN Health e-Blue. Log in to Provider Secured Services. If you dont have a Provider Secured Services user name and password, youll need to apply to get them. Make sure you apply for access to both web-DENIS and Health e-Blue.

3 Open the Patient - Eligibility panel. 3 Click on Panel - Patient Eligibility.

4 Search the records. Select your PCG or office. 5 To get a full report, set the Practice Group/Solo Physician, PCP and Product Line fields to All and set the Report Year field to 2012YTD. You can do all the sorting once you have the entire file and have converted it to an Excel ® spreadsheet. Click Search Records. 6 4

5 Export the file as a CSV file. When the search is complete, click Export as CSV File. Save the CSV file. 7

6 8 9 Open the CSV file and save it as an Excel file (.xls). Save the file as an Excel file.

7 Sort and filter the data in Excel. Open the Excel file. 10 Sort by product. Refer to the table of BCN Plan Codes with Plan Names (next page). 11 Note the risk score for each member. (ADCG2 column) The higher the score, the sicker the member. Members with scores of 3,4 and 5 are flagged for review by BCN Care Management. 12 To see how to access more information on the members followed by BCN Care Management, keep reading... Member names PCP names Continue to sort and filter the data to meet your needs. Open the Help function in Excel to get instructions. Keep your original file intact, just in case.

8 Table of plan codes + plan names. In the Excel file, be sure to filter out plans that are not a part of MiPCT* or your data will not be correct. *Michigan Primary Care Transformation Project

9 Search for Patient Condition data. A Select the conditions. Click Search Records. C B Click on Panel – Patient Conditions.

10 Export and save the file. View the data. When the search is complete, click Export as CSV File. D Convert the CSV file into an Excel file and open the Excel file. E View the data on members risk scores and conditions. A CM FLAG of 1 identifies members being followed by BCNs Care Management department. F

11 Special thanks! In the spirit of provider partnerships and collaboration, I would like to recognize Dana Getz from IHA, who provided the layout and direction for this presentation. Thank you, Dana! J.H.H. IV D.G.

12 Questions?