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Home > Segments > Health Plans
Overview:

As the health plans strive to create greater efficiencies, enhanced services, and reduced costs, more focus has been placed on emerging initiatives related to information technology. Straight-thru claims processing and the emergence of alternate service channels are just two of the areas where IGI has assisted our health plan clients in providing superior service delivery to its varied constituent base.

 
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Representative Engagement


A major health plan  enlisted IGI’s assistance for  re-engineering of multiple consumer portals and the re-design of the organizations primary provider portal. 

The first phase of the engagement focused on decoupling the business logic from the front-end and introducing an object model-based translation layer.  The business functions for eligibility, benefits, claims, and reporting were mapped from the presentation layer to the backend adjudication and eligibility systems.  This served to

  1. Reduce the number of calls required to present information
  2. Provided a multi-layer design which abstracted the business data and source logic
  3. Increased flexibility, reduced maintenance costs, and improved response times.

The team then moved into the rebuilding of the consumer portal, providing subject matter expertise and consulting resources in the areas of project management, program management, quality assurance, and analysis.

Upon the successful launch of the consumer portal, the IGI team then assisted in delivering the first known implementation of a personal record.  This project was requested by the organizations CEO in response to the Hurricane Katrina disaster.

 
 
 
 
     
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