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

Project Delivery

We lead and implement full lifecycle projects that maximize the value from IT systems, meet regulatory requirements, gain operational efficiencies, and secure competitive advantages.

Consulting

To meet the customized needs of our clients and fill the gaps between staff augmentation and full-implementation, we provide à la carte consulting services for technology-enabled health care.

Staff Augmentation

Through our broad and deep healthcare network of talented people, we augment our client’s staff with experts who understand the business and technologies our clients rely on every day.

Talking Health Plans