Case Study: Health Plan Provider achieves secure, HIPAA-compliant, scalable claims processing with Axway MFT

Secure, HIPAA-Compliant Claims Payment and Processing with Axway MFT

A recognized leader in health and well-being, this Health Plan Provider serves roughly one third of the U.S. population through multiple affiliated companies and sought to launch enhanced claims payment and processing services. Its legacy file-transfer methods could not guarantee delivery, provide tracking or alerts, or scale for peak volumes—creating HIPAA and SLA exposure with potential fines exceeding $10 million.

The Provider implemented Axway Managed File Transfer (MFT) to deliver HIPAA-compliant encryption and authentication, end-to-end visibility, alerting and support for all major protocols, enabling onboarding and management of thousands of trading partners. The solution scaled to more than double transaction volume in a year, centralized file-exchange governance, ensured regulatory and SLA compliance, and produced substantial cost savings by improving claims processing and avoiding costly penalties.