Case Study: Leading U.S. Health Insurer Company achieves connected member experiences and millions in savings with Reltio

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Preview of the Leading U.S. Health Insurer Company Case Study

A leading U.S. health insurer delivers connected member experiences

Leading U.S. Health Insurer Company faced fragmented member data across more than three million coverage entities and four million member records, with no single view of members and inaccurate identifiers across systems. These disconnected processes caused enrollment, service delivery, and reimbursement issues and prevented accurate member segmentation for targeted engagement.

Reltio implemented its platform to master member data and create a single, contextual view of each member that feeds multiple systems and channels for sales, marketing, and customer service. Using Reltio, the insurer uncovered relationships among members, providers, and plans, executed a member-centric omnichannel strategy with personalized recommendations, avoided millions in penalties from accurate billing and enrollment, and expects $1M+ in annual TCO savings versus its former on‑premises MDM solution.


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