Innova Solutions > Healthcare Services > Payers > Enrollment member service portal

The client is the largest financial and administrative healthcare network in the United States.

Customer Need

This client’s existing system had a complex architecture and did not allow changes to be incorporated easily. The current system was facing high application downtime while incorporating the latest changes. The client needed to build portals to manage their online enrollments and member service operations and

Automate offline enrollment application processing and reduce manual effort
Increase accuracy in submitted application data
Reduce time for manual corrections post submission of data
Provide channel for broker engagement
Allow members to view policy benefits and place self service requests


Solutions Provided

Our solution included the following salient features:

  • Built an Online channel for prospects to submit enrolment applications and designed a configurable business rule-based architecture
  • Built an Online channel for prospects to submit enrolment applications and designed a configurable business rule-based architecture
  • Developed an administration window to change pages, fields, and rules using UI without scripts
  • Validated member and plan data real-time
  • Developed an application to view client and policy information
  • Enabled them to create highly customizable business reports and features to generate leads and share with prospects
  • Implemented a secured portal for members with dashboards to showcase plan details and wizards to place self service requests

Technology: Bootstrap | Angular JS | Mongo DB | ASP.Net | MVC | Java | SQL Server | Spring | IBM DB2 | Apache CXF

Benefits / Results

Improved client satisfaction over 157k annual applications
Reduced development effort by 400 hours (avg) to incorporate state DOI, federal, and business changes
Reduced downtime of application from 2 hours to 10 minutes
99% conversion rate from online application to policy
Decreased number of exception creation and time-to-resolve errors
Increased broker engagement levels
Active use by 160K+ producers
Decreased operational user’s member request traffic by 40%

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