Case Study: Leading U.S. Health Plan achieves 100% automated data integrity and averts critical incidents with Infogix

Gaping Data Integrity Liability Discovered Fixed in the Nick of Time

A leading U.S. state-based health plan—serving over 450,000 members and a 30-year Infogix customer—discovered gaps in its data integrity controls after transmission errors went undetected at a key interface. A strategic review found heavy reliance on manual checks, controls limited to the mainframe (requiring logins to view results), sparse automation, and only summary-level reconciliation with no transaction-level visibility or timely alerts.

The plan implemented Infogix Assure across distributed systems and paired Infogix Insight and Perceive with ACR/Summary to provide end-to-end automated controls, real-time dashboards, drill-down reporting, and timely alerts (balancing, reconciliation, missing/duplicate/timeliness/reasonability checks). The changes eliminated complex legacy checks, automated 100% of integrity monitoring, averted severity-one incidents, freed staff from manual checks, gave C‑level visibility, and contributed to zero external penalties on claims—prompting the organization to add Infogix controls reviews to its SDLC.