Case Study: Leading State Healthcare Company achieves increased provider participation and streamlined, integrated care with Informatica Address Verification and Data Quality

Delivering More Efficient, Integrated Health Care using Improved Data Quality

The State Healthcare Agency, which administers Medicaid for 1.8 million residents through more than 80,000 providers, needed accurate provider servicing addresses to calculate financial incentives for integrated physical and behavioral health care. Manual address entry and incoming files had high error rates (about 20% from the mainframe, ~8% from external files), forcing an 80-hour verification cycle by one full‑time employee and causing provider crediting issues and costly returned mail.

The agency deployed Informatica Address Verification and Informatica Data Quality to validate addresses against USPS data, automate corrections in Cognos and external files, and kick‑start a formal data governance program. The initial run flagged 2,257 errors out of 10,212 records, reclaimed one FTE, improved provider relationships and participation in the incentive program, reduced returned mail costs, and paved the way to expand the solution across divisions and move integration to the cloud.