Payers require efficient premium processing systems. Having a comprehensive premium processing system is critical, and our team was there to help the client accomplish this.

Client:

A statewide health plan

Project Definition:

Develop a comprehensive premium renewal system to replace a difficult to maintain, highly manual and outdated system.

Project Complexities/Deliverable:

• Analyze existing programs and develop a business rule matrix to design new architecture
• Convert existing VSAM and flat file technology to DB2 databases
• Develop online applications and simplify maintenance of renewal rules
• Optimize business processes and reduce workload
• Simplify system architecture: reduced the number of programs by a 20 to 1 ratio
• Streamline processes and consolidate reporting functions: reduced report count from 200 to 35
• Interface with IBM’s Content Manager using Java and DB2 to generate renewal notification letters

Project Technologies:

• IBM S/390
• CICS
• COBOL
• Content Manager
• DB2
• EZTRIEVE PLUS
• Java
• JCL
• OnDemand
• VSAM