Invenger Technologies, Inc

The Client

A leading US based insurance company.

The Challenge

Replace current multiple bill review vendors into One New Vendor system

Improvise Customer Service with faster and automatic medical bill processing

Seamless integration system between the Workmen Compensation Claims System and New Bill Review Vendor system

Automatic processing of Medical Bills and payments processing for the Medical Bill and the Bill review fee payments

Solutions:

Invenger team took complete ownership of all the phases of the project
Inception [Project planning and Requirements analysis]
Elaboration [Requirements and Solution Design]
Construction [Design and Development ]
Transition [Deployment and Production Support process]
Solution implemented using the Oracle Siebel 8 Enterprise Application Integration [EAI] technologies, and Informatica technologies
Real time solution design enabling business rules to be applied automatically and payments validation and processing
Historic data loaded into the new vendor system to be able to process medical bills from legacy claims
Automatic retry mechanism implemented to be able to handle any exceptions in the payments data

Key Benefits

New system providing Seamless Integration between the Workmen Compensation Claims system and the medical bill review vendor
Optimized bill review system resulting in better Customer Service
Bill review vendor consolidation resulting in better Claims business benefits
Reduced over all workmen compensation claims processing time resulting in higher customer satisfaction