How Highmark Found Undetected Healthcare Exclusions in Month One Written By Cristina Stahr Share this Healthcare exclusion monitoring is not a back-office formality, especially for Highmark, one of the largest Blue Cross Blue Shield licensees in the country. It is a critical compliance function that touches millions of lives, which means that every match matters – and efficiency counts as much as accuracy. When Highmark’s compliance team took a hard look at the manual burden and missed matches that were piling up under its previous vendor, leadership knew it was time for a change. What followed was a full transition to ProviderTrust, a cleanup of years of dormant data, and the immediate discovery of excluded individuals that had gone undetected for an unknown period. See the Full Case Study
