Case Study: Community Health Choice achieves 33% faster claims processing with Informatica Data Quality and MDM

Community Health Choice Boosts Member Trust with 33% Faster Claims Processing

Community Health Choice, a nonprofit Texas managed-care organization, needed to modernize how it collected and managed provider and member data. Siloed systems, inaccurate provider contact and address data, and a new state requirement for more granular address storage were delaying claims approvals and payments—hurting relationships with members and a large provider network and complicating complex Medicaid claims.

CHC implemented Informatica Multidomain MDM, Data Quality and Address Verification, and integrated master data with Salesforce to create a single source of truth. The cleanup and governance work yielded a 59% improvement in provider contact accuracy and accelerated claims approvals by 33% for more than 50,000 providers, delivering faster adjudication, timely payments, regulatory compliance, and stronger trust across the organization.

Community Health Choice

Nikola Renaud

Senior Manager of Information Systems