[Case Study] Building a Claims Processing System for a Compounding Management Player in 90 days
The customer is an independent compounding management company. They deliver solutions to the marketplace based on quality and fair pricing mechanisms. They settle pharmacy claims by working with Clearinghouses and the Pharmacy Benefit Manager (PBM).
The Need
To build a fraud prevention solution for the customer from scratch within 90 days.
The Challenge
The customer’s existing fraud prevention solution was built by another vendor. But the customer faced an unexpected 100% cost escalation. The escalation was due to an oversight regarding intellectual property rights.
The customer had no option but to embark on an arduous ‘Mission Impossible’- style task: Build an enhanced solution with even better features and functionality in 90 days before the previous contract was up for renewal.
Undertaking this task was the only way to avoid perpetually paying licensing fees.
Get it now