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

Gaping Data Quality Liability Discovered Fixed in the Nick of Time

Leading U.S. Health Plan, the largest health insurer in its state and a Precisely customer for over 30 years, discovered critical data quality and visibility gaps when a transmission error went undetected at a key systems interface. The review showed distributed systems relied on manual checks, limited automation, and mainframe-only controls that required logins and provided no transactional drill‑down, leaving the plan exposed to undetected data and process failures.

Precisely extended its controls beyond the mainframe to establish an end‑to‑end process controls framework across the enterprise—automating balancing, reconciliation, missing/duplicate file checks, timeliness and reasonability checks, and deploying dashboards, alerts and detailed reporting. The Precisely solution eliminated complex legacy checks, expanded coverage to 100% automated monitoring, averted severity‑one incidents, freed resources from manual checks, delivered C‑level visibility, and helped the plan incur zero external penalties on claims compliance.