Case Study: Health Insurance Licensee (Blue Cross provider) achieves an insight-driven enterprise with Profisee

Health Insurance Company - Customer Case Study

Health Insurance Company, a Blue Cross provider, was struggling with legacy limitations: changing regulations, a flat-file member system that couldn’t capture current and historical member data, and duplicate, incomplete records that impaired analytics and operations. To modernize master data management they engaged Profisee and the Profisee Platform to build a future-proof MDM capability that could link member and group data across the organization and incorporate Dynamics CRM data.

Profisee implemented an MDM solution to create a clean master list of members and groups, eliminate duplicates, verify addresses, and establish new onboarding workflows. The Profisee Platform removed bad data, eliminated duplicate broker fees on referrals, and enabled deployment of consistent member onboarding processes; success with member and group data has driven the addition of master product data and the ability to monetize the intersection of member, group, and product data as a foundation for enterprise strategy.