Industry
Healthcare Insurance
Technologies Used
Azure Logic Apps
Azure Integration Account
Key Outcomes
Streamlined EDI 834 benefit enrollment process
Seamless collaboration with multiple partners
VNB Health collaborated with a leading Health Insurance provider to transform EDI 834 Benefit Enrollment processes.
Customer Profile
The customer is a prominent healthcare insurance provider serving a vast population. With a rich history in the industry, they are committed to delivering comprehensive healthcare solutions and enhancing member experiences. The organization operates in a highly regulated environment, necessitating robust and compliant systems. Due to the sheer volume of transactions and complex nature of healthcare data, the customer handles a significant workload, demanding efficient and reliable IT operations.
Customer Situation
The customer handled 270/271 Healthcare Eligibility Benefit Inquiry transactions to verify patient healthcare eligibility, coverage, and benefits. The customer relied on custom API interfaces built on Microsoft BizTalk Server to connect with multiple insurance payers. This complex integration environment, characterized by high transaction volumes and frequent changes, was prone to instability. Updates to one payer’s interface often disrupted connections with others. To mitigate this risk, accelerate development and ease the build, deployment and testing process, the customer sought an automated solution that would enable continuous integration and continuous delivery (CI/CD) with robust automated testing.
Customer Profile
The customer is a prominent health insurance provider, catering to a diverse clientele seeking comprehensive insurance coverage solutions. With a reputation for excellence and a commitment to innovation, the customer serves a wide range of clients including employers, individuals, and families across various industries.
Customer Situation
The customer was grappling with a challenge in efficiently processing Benefit Enrollment files within the Logic App, particularly when dealing with multiple partners. The complexity of handling data from various sources led to bottlenecks and errors in their processing workflows. This situation hindered smooth operations and necessitated a solution to implement the Logic App's capability to seamlessly manage files from numerous partners.
VNB Solution
Our customer selected VNB as we are a trusted Microsoft Cloud Solution Provider and Gold Partner with proven expertise in Azure Integration solutions.
We delivered a comprehensive solution, utilizing Azure Logic Apps to efficiently transform EDI 834 benefit enrollment files from multiple partners. To optimize performance, we implemented a modular workflow approach and leveraged Azure Integration Account to facilitate seamless partner integration.
By developing intricate schemas and complex mappings, we ensured accurate and reliable processing of EDI 834 data throughout the benefit enrollment process.
Customer Benefits
Efficiency: By utilizing Azure Logic App, the customer streamlined their EDI 834 benefit enrollment process, reducing manual effort and processing time.
Partner Collaboration: The establishment of partnerships and agreements through Azure Integration Account fosters seamless collaboration with multiple partners, enhancing overall operational efficiency.
Real-time Insights: The Logic App provides real-time insights into the enrollment process, empowering the customer to monitor and address issues promptly.
