A teleprocessing system, in which BCBSKS participates, that serves Blue Cross and Blue Shield -BCBS members anywhere in the United States. This process is sometimes referred to as "ITS". Through this system, BCBS Plans make available to BCBS members the same provider discounts they have negotiated for their own customers. Claims for patients who have out-of -state coverage by another Blue Plan, are usually sent directly to BCBSKS. This program does not include HMO claims.