Case Study: a health insurance licensee optimizes member data and compliance with Profisee MDM

Health Insurance Licensee replaces legacy MDM in under one quarter with Profisee

Health Insurance Licensee, a Blue Cross health insurance provider, faced significant challenges due to evolving industry regulations and an inadequate legacy system. Their flat-file member data system could not provide a complete historical view of members, which was critical for compliance and service, and their analytics could not handle the complexity of predicting business impacts. To address this, they selected the Profisee master data management platform on the Microsoft stack to build a future-proof solution.

Profisee implemented a solution that created a clean, golden record of members and groups by eliminating duplicates and verifying addresses. Using automated matching and a stewardship process, they replaced the legacy system in under one quarter. The results were immediate: the company eliminated duplicate broker fees, removed bad data, and deployed a new error-free onboarding workflow. The success led to mastering product data and using the trusted data as a foundation for their enterprise strategy, ultimately optimizing coverage for their members.