Harvard Pilgrim Health Care Inc., a private health plan, will go live this month with the first phase of its new claims adjudication solution implemented on the Oracle Health Insurance claims application.
Oracle says the application is expected to process about 1 million claims transactions per month and increase auto-adjudication rates for Harvard Pilgrim's members throughout New England. This will lead to faster, more automated claims processing and reduced operating expenses. The application will keep a record of all claims transactions, including outsourced benefits administered via partner platforms, giving Harvard Pilgrim a 360-degree view of member benefits and provider services, according to Oracle.
Register or login for access to this item and much more
All Digital Insurance content is archived after seven days.
Community members receive:
- All recent and archived articles
- Conference offers and updates
- A full menu of enewsletter options
- Web seminars, white papers, ebooks
Already have an account? Log In
Don't have an account? Register for Free Unlimited Access