Blue Cross Blue Shield of TN is now on DME Navigator
Blue Cross Blue Shield of Tennessee has partnered with Optum through DME Navigator to support their member DME benefit.
DME Navigator & BCBS Tennessee Partnership
Blue Cross Blue Shield of Tennessee has partnered with Optum to leverage DME Navigator as part of their approach to streamline durable medical equipment orders for their members and HME Provider partners. Through the DME Navigator platform, in-network HME Providers will receive orders through Parachute, and soon, will be able to submit authorizations for BCBS Tennessee members through the Parachute Platform.
How Parachute Health Supports DME Navigator
Parachute's Role
Parachute is the technology platform supporting digital order routing and authorization workflows. As health plans and benefit managers evolve authorization requirements, Parachute's role remains focused solely on digital workflows to drive efficiency for HME providers, not contracting, reimbursement, or network design.
Parachute does NOT:
- Negotiate contracts or rates
- Determine network participation
- Manage reimbursement policies
- Control claim adjudication
These areas are managed by DME Navigator, through Optum and CareCentrix.
Implementation Process
1
Phase 1 - Go Live: Notes & IDDSI
Parachute's role:
- Digitally routes orders to in-network HME providers
- Reduces leakage
- Drives order volume through your CareCentrix contract
2
Phase 2 - Authorization Integration (Auth)
Submit authorization and digital end-to-end integrations. Based on criteria passed in, you can navigate if authorization is needed and send requested data instantly, digitally.