The Independent Health Association

IHA is a large payer organization based in Western New York that provides health benefits and services to nearly 400,000 total individuals. Their offerings include HMO, POS, PPO, and EPO products; Medicare and Medicaid plans; traditional indemnity insurance; consumer-directed plans; coverage for self-funded employers; and health savings account and pharmacy benefit management services.

CHALLENGE

IHA made the decision to replace its image and data capture/storage software platform. Entrendex, a document scanning and Optical Character Recognition Application, and IMAX, a content repository/storage and workflow application, needed to be replaced with FormWorks and Macess, respectively. IHA also wanted to replace its legacy claim processing system with HealthRules. This required the concurrent implementation of both new products and the integration of them with HealthRules, allowing for coexistence within both claims processing systems. This project was a complete rebuild of the infrastructure and rewrite of all the interfaces into FormWorks and Macess.

SOLUTION

CTG managed the entire product implementation by working with the product vendors, delivering new architecture, building new interfaces, and integrating FormWorks and Macess within IHA’s other enterprise applications. The project was completed within budget and on time to successfully coordinate with other strategic project initiatives occurring simultaneously, and we continue to manage all upgrades related to the software. Through this project, IHA also realized reduced administrative costs, improved HIPAA compliance, enhanced security, streamlined business processes, and overall improved customer satisfaction.

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