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.

In-Depth Expertise

Success Stories

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.

Our Services


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


  • Configuration
  • Integration
  • Testing
  • Go-Live


  • 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


SourcEdge Joins Alivia Analytics

The unified organization combines SourcEdge’s claims system technology optimization expertise with Alivia’s AI-powered payment integrity / FWA data and analytics platform.