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Application & Infrastructure Maintenance for US-based Medicare Health Insurance Organization

The client is a provider of Medicare Advantage and Supplement Health Plans for Medicare eligible recipients in the United States.

Challenges:

  • Increased redundant data and business processes, post-merger with another health organization providing Medicare Advantage & Supplement Plans.
  • Meeting the Regulatory Reform cut-off for converting HIPAA EDI maps 4010 to 5010 and conversion of ICD-9 to ICD-10 codes

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