Infosys implements financial management solution for US health plan


Bangalore: Infosys Public Services, a US based subsidiary of Infosys, has announced that it has successfully implemented a premium billing and payments solution for L.A. Care Health Plan, the largest publicly operated health plan in the U.S. serving more than 1.6 million members.

This solution will help improve access to health benefits for 24,000 members on its L.A. Care Covered™ plan offered through the Covered California health insurance marketplace.

Infosys Public Services implemented Benaissance’s®ExchangePointSM financial management platform to simplify the user experience. It also integrated the new system with L.A. Care’s existing TriZetto® QNXTTM application to enable smooth data exchange. The solution modernizes L.A. Care’s billing and payment processes to better serve members in the Los Angeles community. It ensures easier access to subsidized health benefits that are offered through Covered California, under the Affordable Care Act.

As part of the project, Infosys Public Services implemented key business functions including Invoicing, Member Effectuation, Payment Collections, Member Outreach, Grace Period Handling for Advanced Premium Tax Credit (APTC) and non-APTC members

The solution was implemented in a stringent 12-week timeframe. Infosys Public Services pooled its state marketplace experience, premium billing and payment functions expertise, and its knowledge on Benaissance®ExchangePointSM and TriZetto® QNXTTM platforms to achieve these results. The accelerated rollout enabled L.A. Care to comply with the California state timeline for member renewals and open enrollment for 2015

By employing an iterative data migration approach for go-live, Infosys Public Services helped L.A. Care avoid business discontinuity and disruption due to the system switchover

Howard A. Kahn, CEO, L.A. Care said, “Covered California allows us to serve the entire community in Los Angeles. With the solution implemented by Infosys Public Services, our updated billing and payment processes and systems will help us improve and simplify access to healthcare to better serve our L.A. Care Covered members.”

Eric Paternoster, President & CEO, Infosys Public Services said, “Our healthcare industry experience, coupled with a deep understanding of both health insurance marketplaces and health plan businesses, provides us a unique opportunity to help L.A. Care’s members to fully leverage the benefits offered through marketplaces such as Covered California and the Affordable Care Act.”

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