Case Study: Health Insurance Company achieves mastered member and group data for enterprise BI with the Profisee Platform

Health Insurance Company Masters Emerging Member Market Opportunities with The Profisee Platform

Health Insurance Company, an independent licensee serving over a million individuals, faced an urgent need to understand how the ACA-driven expansion of individual marketplaces would affect its business. Their member data was trapped in isolated marts and a legacy flat-file transaction system that truncated member histories, preventing enterprise-wide analytics and business intelligence. To address this, the company selected the Profisee Platform.

Using the Profisee Platform and Profisee’s Accelerator engagement, the company integrated transaction data with contact records in Dynamics CRM, built BI and master data models with the SDK, and applied Profisee’s matching and address verification to de-duplicate and cleanse member records. The consolidated member master data model eliminated duplicate broker payments, exposed common data-entry errors for process improvement, and established a foundation for enterprise BI and rapid product integration for ACA exchanges — all delivered with Profisee’s technology and services.