Case Study: Blue Cross & Blue Shield Nebraska reduces sanctions review time with CSI's WatchDOG

Blue Cross & Blue Shield Nebraska - Customer Case Study

Blue Cross & Blue Shield Nebraska and Premera Blue Cross faced the challenge of efficiently screening against numerous, frequently updated sanctions lists to meet strict regulatory compliance mandates. They required a solution to reduce the high volume of false positives and to generate detailed proof of their screening efforts for auditors. To address this, they turned to Computer Services, Inc. (CSI) and implemented its WatchDOG watch list screening solution.

By implementing CSI's WatchDOG platform, the insurers automated and centralized their sanctions screening against all applicable lists. The solution significantly reduced the time spent reviewing false positives; Premera Blue Cross reported cutting its monthly sanction review time from one week to less than one day. With features like automated list updates, email notifications for audits, and a "good customer" list to eliminate re-reviews, WatchDOG provided the required audit trail and allowed analysts to focus on legitimate risks.

Blue Cross & Blue Shield Nebraska

LeeAnn Ellison

Medicare Liaison