Affordable Care Act – Implementation
One of the client needed to address fast-paced growth, industry changes that were affecting day-to-day operations, and the functioning of its health plan administration system.
Keeping up to date with Trizetto releases
Verifying the impact on existing business
Implementation of Affordable Care Act
Managing accumulators information from different systems.
To and fro communication of accumulator information between different systems.
Modifications in Commission calculation
Modifications in Capitation process
Migrating from Sybase to Oracle.
Data validation issues and gaps.
Enhanced commission calculation process like automated overpayment identification.
Auto-mated solutions for loading accumulator in Facets
Alarming team with expected information on issues with data.
Thorough analysis of custom process as well as core Facets jobs was performed & areas of improvement identified.
Provided impact analysis on existing system and fixes to for every release from Trizetto.
Improved member enrollment process with our custom solutions.
Hassle less Facets upgradation of each release.
Accurate Broker/Agent commission calculation.
Improved accuracy of Capitation.
Better management of accumulators information.
Established a clear governance and processes.
Awarded as best company for up to date implementation of latest rules and regulations.
Successful migration from Sybase to Oracle.
Providing blue print for all use cases with business users which driven the project execution with quality and on time deliverables.
Proper ahead planning for extensive testing prevented unexpected surprises at the end.
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