The Client is leading Fortune 500 Enterprise providing health insurance in the United States. As of 2018, the company had approximately 40 million members in 10 states in the US.
The Client is leading Fortune 500 Enterprise providing health insurance in the United States. As of 2018, the company had approximately 40 million members in 10 states in the US.
The Client caters to medical service providers, be it individuals or organizations. The Medical Service Providers often find it difficult to maintain a central data of their affiliates or their partner providers. This led to data duplication and errors which often cost the provider in terms of brand reputation and repeated effort cost. They needed a solution that provided an efficient and seamless data system, where the affiliate partner details were updated accurately and in place.
The solution built was a Provider Data Management Solution, with UI powered by PEGA 7.2, the interface development was powered by JAVA & for Storage, it was Oracle Database Suite. It was a rule-set based solution with over 172 rules, making the entire application extremely complex for implementation.
NV’s focus was centralizing these rule sets and leveraging parts of the code with clear focus on the business need. The resulting solution brought about benefits as below:
NV followed its template 3-point approach-