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Organization

Leading Midwestern healthcare company
Challenge Modernize legacy claims processing system in support of TRICARE
Our Role

Technology Blue was engaged to provide strategic and tactical expertise in support of a modernization initiative. Our resources implemented processes and documentation in support of an end-to-end rule development lifecycle. In addition, the decisioning implementation was anchored by a robust repository framework (read more here) to facilitate a foundational architecture to support current and future decisioning requirements. Our architects collaborated with the client to refactor the COBOL application infrastructure to support new requirements, and integrated the decisioning engine to allow business-maintainable expressions of business policy logic.

The Results

Technology Blue created the following value:

  • Increased Business-IT collaboration
  • Reduced costs by lower claim processing errors
  • Defined end-to-end rule lifecycle process
  • Performed extensive knowledge transfer and training
  • Increased knowledge of strategic use and application of decisioning technologies
  • Refactored existing implementation to improve performance and maintainability
Technology IBM z/OS, COBOL, FICO Blaze Advisor