Case Study: Prime Therapeutics strengthens compliance and scales operations with SAI360

Prime Therapeutics manages 270 million claims a year with SAI360

Prime Therapeutics, a pharmacy benefit management company collectively owned by Blue Cross and Blue Shield plans, needed to embed compliance into the entire organizational fabric. They partnered with SAI360 to move beyond a limited, role-specific compliance approach and manage their critical policies, privacy, incidents, and third-party risks across a complex, high-volume healthcare business.

Using several SAI360 platform modules, including Policy Manager, Incident Manager, and Third Party Risk Management, Prime Therapeutics centralized and automated its compliance workflows. SAI360's architecture enabled complex parent-child record relationships and streamlined processes without custom coding. The results included increased efficiency and the ability to scale, supporting the secure processing of over 270 million annual claims while keeping pace with regulations.

Prime Therapeutics