Problem
After acquiring a competitor, a large TPA was faced with recreating IT processes for the thousands more eligibility files it stood to receive, or to find a sustainable solution.
Solution
Milliman Connect implemented the Transform solution providing consistent and timely eligibility data into the TPA’s WLT and Javelina claims systems.
Impact
The TPA reduced its budgeted technical spend from $2.96/PEPM to $1.36/PEPM — a 54% reduction.
