Claims System Modernization

Improving operational efficiencies and customer satisfaction

As a strategic partner, we leverage existing software functionality and lead efforts to install, configure, test, and go live with claims systems. This gives our clients a competitive advantage, improves organizational efficiencies, and increases ROI.

Success Story

Digital solutions

CommunityCare of Oklahoma: Modernization Improves Claims System Lifetime and Performance

When CCOK’s antiquated servers were in need of modernization, SourcEdge created a detailed plan to transition the system to the cloud. We worked-hand-in hand with the client’s IT team to complete the project in just 14 months.

How One U.S. Health Plan Rapidly Expanded in ACA and Medicaid Using Facets

As a certified Facets consulting organization, SourcEdge delivered a turnkey, end-to-end solution to rapidly configure Facets, expanding Medicaid and ACA business lines in record time.

Medicine doctor or medical students with stethoscope using digital tablet laptop,Health Check with digital system support for patient with medical icon at hospital, Medical network technology concept.

Support and Maintenance for Mission Critical PowerMHS or PowerSTEPP Claims System

Concerned about support ending? Avoiding this potentially catastrophic lapse requires extensive claims systems modernization experience. Our team comprises the original software developers of the Power systems.

Our Services

Strategy

  • Readiness Assessments
  • Requirements 
  • Product Fit Analysis
  • Solution Architecture

Implementation

  • Configuration
  • Integration
  • Testing
  • Go-Live

Operations

  • Upgrades and New Releases
  • Usage Efficiency
  • Service Level Agreements (SLA)
  • Reporting & Analytics

Flexible Engagement

Leadership and implementation of full lifecycle IT projects.

À la carte consulting services for technology-enabled health care.

Providing experts who understand health plan business and technologies.

Talking Health Plans