The Patient Protection and Affordable Care Act (PPACA) offers health plan providers a new opportunity to serve millions of individual consumers, each motivated to purchase health insurance, perhaps for the first time.

For insurers, the revenue opportunity is vast. However, the regulations around servicing these members also are new to every health insurance provider. Without proper planning around the business processes for meeting new regulations, this new revenue source quickly could turn into a spiral of costly manual interventions and fines for being out of compliance.

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