Community Health Choice is a local, nonprofit, managed care organization committed to helping improve the health and well-being of Texas residents. Founded in 1997, the company began by offering STAR Medicaid coverage to low-income children. Today, Community Health Choice proudly offers an array of affordable and no-cost health insurance plans to one of the largest provider networks in southeast Texas.
“We're all data nerds at heart, but our real goal is to do right by our healthcare providers and members. By getting the data right, Informatica helps us position ourselves to keep delivering the coverage and services Texans expect.”
Senior Manager of Information Systems, Community Health Choice
Provide better experiences while meeting regulatory requirements with a single view of providers and members
Deliver fast and accurate payments to improve relationships with individual members and over 50,000 healthcare providers
Bring speed and reliability to claims processes, particularly for complex cases that require input from multiple stakeholders
Solutions & Results
Break down siloes between teams and data sources to gain a single view of healthcare provider information with Informatica Multidomain MDM
Cleansed healthcare provider data, ensuring faster claim adjudication rates and timely claims processing across Medicaid and Marketplace product lines
Accelerated claims approvals by 33% for over 50K healthcare providers in Community Health Choice’s provider network
Create better data quality and trust rules to simplify claims approval process by utilizing Informatica Data Quality
59% improvement in accuracy of healthcare provider contact data, strengthening member relationships
Improved trust in data across the organization, positioning member-facing teams to get closer to their contacts and build new relationships
Nos clients sont notre priorité numéro un — qu'il s'agisse des produits, des services ou de l'assistance que nous leur proposons. C'est la raison pour laquelle nous avons obtenu la note maximale en matière de fidélisation client pendant 12 années consécutives.
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