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.

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