Case Study: Global Healthcare and Insurance Leader transforms provider operations with Datamatics PBoR Solution

Operations Optimization for a UK Healthcare Insurer with Datamatics’ Provider Book of Record (PBOR)

Global Healthcare and Insurance Leader, a leading UK-based international healthcare insurance company serving 38 million+ customers, needed a more comprehensive way to digitize provider onboarding, credentialing, and contract management. As the business faced pressure from rising digital expectations, manual processes, Excel-based rate tracking, and limited integration across claims and invoicing systems, it turned to Datamatics for help.

Datamatics implemented its cloud-based Provider Book of Record (PBoR) solution to automate provider management, contract approvals, and claim validation through real-time integration with policy, claims, finance, and portal systems. The result was 0% claim overpayment leakage from incorrect pricing, 90% faster contract and rate validation, 50% reduction in credentialing time, 30–40% shorter claim processing cycles, and a 100% audit trail of claims.