Modis keeps health benefits provider’s critical compliance project on schedule

Client Overview: International provider of health care, related benefits

This Fortune 500 Company provides health care and related benefits offered through the workplace. Key product lines include health care products and services (medical, pharmacy, behavioral health, clinical information management, dental and vision benefits, and case and disease management); and group disability, life and accident insurance. In addition, the company also provides life, accident, health and expatriate employee benefits insurance coverage in selected international markets, primarily in Asia and Europe.

The Modis Solution: Coordinating business components, meeting deadlines for project

This client needed to allow the Registration and Pre-Registration of their providers using a Single Sign On (SSO) process. This registration must comply with the overall Kaiser/MDL Settlement which requires the client to provide access to their web site in order to obtain eligibility and benefits, claim processing guidelines and more specific information such as fee schedules and claim check guidelines. The registration process must be completed within a reasonable timeframe and be as simple as possible in order to attract usage.

The client will leverage its current registration and re-registration process and enhancements will be made to create ease for their providers and ultimately reduce the manual and cumbersome processes in place today such as automating PIN or password reset requests. Registration will no longer be rolled out to specific networks but will be offered to all provider types via their Web site.

Modis provided assistance for the business requirements of the project. Our consultant coordinated with the business components to gather the requirements from each of the areas. He was responsible for meeting the deadlines and time estimation of the project.

To see what Modis can do for you, contact your local Modis office today or read more healthcare & pharmaceutical case studies.