Today's health insurance landscape presents a myraid of unique business challenges. Perficient's dedicated national healthcare practice, combined with more than 1,600 business and technology professionals, deliver innovative and intelligent solutions to meet the challenges faced by health plans.

Smart Service Oriented Architecture For Payers

• Healthcare Payer Shared Services Platform: Standards-based, secure solutions that enable the exchange of health information across your enterprise and with external trading partners
• Automated Business Processes: Streamline IT architecture and speed up implementation
• Operating Cost Reduction: Ability to realize cost reductions and increases in efficiencies through the replacement of heterogeneous components with a single, standards-based solution
• Faster Time-to-Market: Use of a common solution provides for better governance and reusability of the organization’s data, resulting in reduced development lead times

Find out how we helped BCBS Massachusetts save over $7 million in operation costs.

• Enterprise Data Roadmaps: Creates the framework for leveraging data to its fullest potential, making organizations as efficient as possible
• Analytics: Provides the critical insights in meeting organizational goals and gaining competitive advantage
• Data Governance: Strategic oversight and management to provide for an open and trusted view of enterprise data
• Master Data Management: Ties the organization’s data foundation together, ensuring the consistency of critical data
• Centralized Data Environments: Requires a balance between process, best practices, organizational constructs and enabling technology

• Member Support: Member access to claim information, benefit plantracking and personalized care advice, reducing call center intake andincreasing member satisfaction
• Provider Support: Access for Providers to monitor claims status, verifypatient eligibility, handle pre-auths, facilitate the re-credentialing process,and have visibility to contracting and shared savings arrangements
• Integrate Smart Analytics: Tracks end-user behaviors and cost information
• Foundation for Collaboration: Enables mobile solutions, integration withexternal vendors, and significant software reuse throughout an organization
• Agile Service Platform: Business-driven products and capabilities canquickly be delivered in major quarterly releases with numerous minor releases in between  

Find out how we doubled portal engagement for BCBS Florida.