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Healthcare & Insurance

USA

Largest Independent Healthcare TPA in the US

Joget

Industry

Region

Size

Technologies

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Spreadsheet Modernization on Low-Code

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Break free from spreadsheets in 6 weeks

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75% productivity boost. 10x faster Rate Sheets creation since live.

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50% less work for data entries, calculations, and data analysis

Key Takeaways

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Instant access to exec dashboards; View, approve, download Rate Sheets on-the-fly

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100% transparency. Secured with version controls, role-based access and audit trails

Challenge

Allied Benefit Systems, one of the US largest healthcare third-party administrator, relied heavily on Microsoft Excel for managing 'Rate Sheets'—detailed financial documents outlining fund distributions to healthcare sub-entities like premiums and broker commissions. They were challenged by:

  • Inefficient data management and cumbersome administrative tasks.

  • High susceptibility to errors due to manual data entry and complex calculations.

  • Lack of version control and proper change management, causing process breakdowns.

  • Inadequate tracking of Service Level Agreements (SLAs) and deadlines.

  • Limited data analytics capabilities, slowing down decision-making.

Solution

Mokxa partnered with Allied Benefit Systems to develop a modernized 'Rate Sheets Management Solution' using Joget. The solution was delivered in just six weeks and featured:

  • Automation of complex financial formulas and policies for compliance and data integrity.

  • User-friendly dashboards providing executives with instant access to actionable data for effective analysis and decision-making.

  • Templatized forms and customizable reports to streamline data entry and calculations.

  • Robust version control, role-based access, and audit trails to enhance transparency and security.

Outcome

The implementation of the automated solution led to significant improvements:

  • 10x increase in the speed of Rate Sheets creation.

  • 75% boost in productivity across related workflows.

  • Reduced time spent on data entries, calculations, and analysis by 50%.

  • Enabled instant access to pending action items, allowing stakeholders to view, approve, and download Rate Sheets on-the-fly.

  • Enhanced cross-department collaboration through secure, transparent processes.


Full Story

Context

  • 'Rate Sheets' management is a workflow to generate detailed financial sheets for funds distributions to healthcare sub-entities (like premiums, broker commissions, etc)

  • This requires the extensive use of spreadsheets (MS Excel) for various administrative & analytical tasks, such as data entry, performing calculation with formulas, data analytics, and more.

  • Despite maximizing the capabilities of spreadsheets, Allied Benefit Systems still faced significant limitations inherent to manual processes.

  • This led to problems like inaccurate data, slow and error-filled tasks, poor tracking of deadlines, breakdowns due to poor version control, and ineffective decision-making.

Solution

  • Mokxa collaborated with citizen developers from Allied Benefit Systems to build a modernized 'Rate Sheets Management Solution', demonstrating optimal resource utilization for an innovative, cost effective business solution delivery in just six weeks.

  • Built on Joget, the solution simplifies business processes that are pertaining to the financial & analytical aspects of premiums distributions and management.

  • Complex financial formulas and policies are baked into the design, automating financial compliance, ensuring data integrity.

  • User friendly dashboards helped executives at Allied Benefit Systems to easily access meaningful data for effective analysis and decision-making.

Outcome

  • Breaking free from spreadsheets, business users were able to instantly adopt the business solution to manage financial sheets, achieving a record-breaking 10x faster Rate Sheets creation.

  • 50% time savings for data entries through automated processes, templatized forms and customizable reports - freeing up the team to focus on creative tasks.

  • Instant access to pending action items enabling key stakeholders to view, approve, and download Rate Sheets on-the-fly.

  • Reduced human errors through validation-checks that were in place, allowing Allied Benefit Systems to scale with lesser risks and fewer variables.

  • Enabled effective, secured cross department collaboration via version controls, role-based access, and change management with audit trails

Let us show you all the possibilities

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