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HEALTHSCIENCE
Case Study
IT consulting for improving maintainability, scalability and interoperability of four payer applications
 
 
Customer
The client, a major payer organization in Massachusetts has four major applications to support different lines of business. They are:
A homegrown application that supports HMO and POS business
Diamond 725 that supports Medicare risk business
RIMS that supports TPA business
MACESS that supports call center and workflow.
 
Challenges
The above mentioned applications were facing problems in areas like maintainability, scalability, vendor support, older technology, performance and interoperability.
 
Solution

Wipro did an assessment of four of the client’s Managed Care applications viz. Claims, Membership, Provider and Premium Billing using the services of Gartner and its own technology centers of excellence. Assessment included understanding current issues, current growth plans and goals of the client applications.

These applications were assessed onsite on various parameters (maintainability, functionality, scalability, interfacing ability, performance, technology, vendor assessment) and a short term as well as long term action plan for each of the application was recommended. The findings were reconfirmed by analyzing (combination of manual and automated techniques) the source code for in-house applications (3 million lines of code) by a team of offshore engineers.

 
Benefits
The global delivery model helped faster delivery at lower cost.
Center of Excellence of Wipro and Gartner ensured impeccable quality.
In depth analysis provided pin point solution to address the issues of maintainability, scalability and interoperability.
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  CASE STUDIES
Re-engineering a reporting application for a payer to improve efficiency and usability with ensured stability
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