Core & immune aspects in modernizing claims processing will aid payers in future

Traditionally, most claim adjudication systems are monolithic and designed to be self-sufficient and independent. Today, we are in the middle of a transformation in the healthcare industry with the emergence of ecosystems with the primary goal of supporting wellbeing.

This paper talks about how claims systems should be designed like a highway – with multiple entry and exit points to meet the needs of each product, line of business, and segment – in order to support transformation.