BCBS Florida - Blue Cross Blue Shield of Florida

The Blue Cross and Blue Shield licenses a familycontracted TriCenturion as a Program Safeguard
of companies in the life-health industry withinContractor (PSC).  In this role, TriCenturion
Florida as Blue Cross Blue Shield of Florida.  BCBSperforms the duties of medical policy
Florida consists of TriCenturion, Inc.; Healthdevelopment, fraud investigations, prepay and
Options, Inc.; Florida Combined Life Insurancepost-pay medical review of claims, and data
Company, Inc.; Florida Combined Insuranceanalysis.  They are especially tasked with the
Agency; Florida Health Care Plans; Comp Optionsprotection and safeguard of the Medicare Trust
Insurance Company, Inc.; First Coast InsuranceFund.  They keep this fund safe for its
Company, Inc.; InceptureSM, Inc.; NavigySM, Inc.;beneficiaries by running a benefits integrity
and Availity, Inc.  Each company has a uniquemanagement program that is efficient and
purpose that helps to serve the citizens of Floridaeffective.  The company continues to oversee
in the health and life areas.some Medicare Integrity Program management
 functions for BCBS Florida.
All of them hold to the ten core values of BCBSF: 
customers are the purpose; employees are theThe vision of TriCenturion is "to be the leading
most valued resource; performance-based; open,defender of public and private interests against
honest, ethical, respectful; diverse and culturallyfraud and abuse."  The company is always
competent; participative, team-based, individuallooking for individuals in the areas of fraud
excellence; learning organization, continuousinvestigation, data analysis, medical review and
improvement, speed to market;audit to join their team of investigators, nurses,
relationship-based; and a balance of health, family,and data analysts.  Formal education and trade
and work.  TriCenturion, Inc. upholds integrity inorganizations are their primary source for
the Medicare and Medicaid arenas.  They arestaffing.  Employees receive ongoing training in
based in Columbia, South Carolina, but they havethe field of Medicare fraud investigation. 
offices in Palm Harbor, Florida.  The companyEmployees are well-compensated through
started in 1998 with the mission to "detect, deter,competitive salaries and a benefits package that
and investigate healthcare fraud and abuse usingincludes health, dental, vision, long term care, life,
unique integrated approaches.  TriCenturion usesand disability insurance; paid holidays; paid time off;
data to investigate Medicare abuse and fraud.401(k); flexible spending accounts; and tuition
 reimbursement.  Working with TriCenturion and
The employees of TriCenturion are data analysts,BCBS Florida is a worthwhile and rewarding career
nurses, and investigators.  The Centers forprotecting the interests of a generation of citizens.
Medicare and Medicaid Services (CMS) have