Case Study: U.S. Health Insurance Company achieves many‑fold increase in plan volumes and 99.5% plan accuracy with Cognizant's BenefitSERV

Higher Healthcare Plan Volumes Lower Performance Guarantee Payouts

A leading U.S.-based retail pharmacy and pharmacy benefits manager was facing large annual payouts from erroneous claims and regulatory penalties because its benefits systems weren’t reliably ready at the start of the plan year. The company wanted to improve patient-centric care, reduce claim inaccuracies, and lower the legal and financial exposure tied to benefits misconfigurations.

Cognizant modernized the company’s benefits rollouts with BenefitSERV and an automated, end-to-end validation approach—backed by pharma subject-matter experts and accurate plan coding. The result was a many-fold increase in plan volumes, 100% compliance with “plan active by date” targets, 99.5% plan accuracy, a 50% reduction in go-live timelines, a 30% reduction in QA costs, lower payout exposure and improved member satisfaction.