Payers need to manage information about their memberships. We have the experience of membership validation, benefit management, updates and termination. All claims depend on membership, and our team is capable of handling the complex issues involved with maintaining this critical data.

Client:

A statewide insurance provider

Project Definition:

Re-engineering of Membership, Billing and Claim Edit sub-systems of a national insurance provider as required to meet market needs.

We were retained to:

• Develop a comprehensive blueprint of the current system architecture, and
• Support in-house IT to develop the new architecture

Project Complexities:

• Exceptionally large workload due to scale of environment
• Unstructured legacy code and inconsistent use of business rules increased complexity
• Business rules were inventoried and categorized to create meaningful models

Deliverables:

Comprehensive documentation, including:

• Detailed technical documentation
• Business rules
• Architectural system overview
• Executive summary

Project Technologies:

• IBM S/390
• CICS
• COBOL
• DB2
• EZTRIEVE PLUS
• JCL
• VSAM