PeerIslands Works with MongoDB to Modernize Healthcare Conglomerate Insurance Platform

In this case study, PeerIslands and MongoDB are working together to help a Large Healthcare Conglomerate modernize its proprietary insurance and prescription eligibility platform. With the switch from DB2 to MongoDB, the conglomerate’s access to data has accelerated dramatically, reducing data upload time from hours to near instantaneous, allowing for rapid access to the data.

Impact

Reduced Data Duplication

Reduce reliance on legacy systems & eliminate data duplication.

Real Time Data

The company will be able to load 1 million records in under 4 minutes, essentially providing real-time access to the data.

Modernized Tech Stack

With MongoDB at the heart, providing application and data architecture development.

Context

Currently, files are loaded into DB2 for cleansing and enrichment in order to expose a customer’s eligibility Data to their prescription claims platform, and it takes 4 hours to load the Data into DB2.

Data is also consumed by Retail Pharmacy & other business units, making it difficult to share eligibility updates in near real-time.

Outdated eligibility data leads to inaccurate Rx Pricing and manual intervention to provide correct insurance coverage

As a result, there is poor adoption by this companies’ pharmacies and customers.

Solution

PS Jumpstart: 12-month engagement: A complete application development team led by MongoDB PS will deliver:
- API layer: Create an API interface and real-time API endpoints that can handle transactional updates to system of records
- Set up and configure data warehouse in Google Cloud Platform
- Enhance internal Platform: Validate file integrity, handle thresholds and overrides
- Store processed information in MongoDB which becomes the new system of records
- Publish Operational events such as errors/warning/status of file load/Summary info to Kafka
- Client onboarding

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