Our client is a leading Third Party Administrator handling health claims for multiple insurance carriers rendering a variety of services such as provider networks, nurse case management, claim processing and settlement.
Our Client was embarking upon an initiative to improve the operational efficiencies and ease of use of its Claims Processing System.
Our Client was on a quest for a rule driven platform to process claims for multiple products.
The incumbent claims management system required more manual interventions to check the validity of the claim. Challenges included:
ValueMomentum partnered with the client to provide a highly flexible and scalable Health Claims Management solution.
The claims management was strengthened using iFoundry which leveraged: