Case Study
Source Payment
Source Payment Integrity: Large, National Health InsurerAlready a top 15 insurance company with over 6 million members, this group was looking to grow their government business and streamline operations, experimenting with new models and expanding to new states. A forward-looking leadership team knew that in order to work at scale, they needed to fully automate their claims reimbursement process. Their legacy claims system was not designed to handle the complexities of new and innovative government programs, limiting their opportunities. Historically, they had been making payments using pricing and editing data gathered from the federal register but were having issues keeping their data in sync. Employees were also struggling with a slow and expensive system configuration process: e