Challenge Core system migration to eliminate claims backlog, fiscal penalties and high operating costs resulting from a sputtering legacy system to improve member experiences and rebuild market reputation Products and Services • TriZetto Facets core administration system • Cognizant Consulting Success highlights • Achieved 95% auto-adjudication • Achieved 98% first-pass accuracy • Reduced claims backlog by 97% • Regained credibility with employer groups The challenge Our client, a large regional health plan serving more than two million members in the midwestern US, was operating on a 30-year-old legacy system that lacked the flexibility and scalability needed to keep pace with changing regulations, high claims volumes and consumer expectations.

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