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Broker Administration System for a Major Multi-State HMO

Project:

Broker Administration System

Executive Summary:

What was the Problem?

• This was a client-server application, with all its inherent maintenance and support problems, and the client had a need for a new web-enabled (thin-client) system.
• The system was based on an old set of business rules, many of which were outdated.
• The back-end application process needed to be run on a daily basis, as opposed to once a month process that existed for the current application.
• The new back-end process needed to have a much better performance than the existing system because of the increased frequency of its runs, and the reduced size of the available back-end processing "window".
• There was a critical need to implement an automatic scheduling system for nightly jobs that would run automatic database updates and several other ancillary jobs.

Why Aviana?

Aviana's Solution

• Generation of pre-scheduled and on-demand web-enabled reports for the application using Actuate®.
• Mechanisms to make sure that the brokers to be paid are in good standing with the HMO, with regard to the documentation required for each broker to be eligible for getting commissions. These checks are done automatically when the back-end process runs.
• Pro-active reporting, which enables the users to identify and fix incomplete data setups existing in the DB, which in turn reduces the broker commission pay-outs that would be withheld because of some missing set-up information.