Pegasystems Selected by Independence Blue Cross to Help Optimize Sales and Claims Processes

CAMBRIDGE, Mass. – August 1, 2007Pegasystems Inc. (NASDAQ: PEGA), the leader in business process management, today announced that Independence Blue Cross (IBC) has licensed Pegasystems SmartBPM® Suite, including several of its health care solution frameworks, to optimize sales, underwriting, renewals and claims processing activities.  Pegasystems' flexible and scalable platform will help IBC improve the automation of customer-facing processes that typically require manual steps and multiple handoffs.   IBC will begin using the product in the first quarter of 2008.

Independence Blue Cross (including its subsidiaries) is the largest health insurer in southeastern Pennsylvania, with more than 2.6 million members locally and 3.4 million nationally.  With nearly 9,500 employees, IBC annually processes more than 32 million claims and responds to over 6 million customer inquiries.  The company will use Pegasystems SmartBPM Suite and the Sales Process Manager™ (SPM) software to more easily provide its customers and sales prospects with tailored offerings, plus prompt and personalized multi-quote proposals for an enhanced customer experience. The initial rollout will support the large group rating, underwriting and proposal package generation for IBC’s new and renewing business.

Additionally, IBC selected Pegasystems Claims Repair™ and Claims Workstation+™ solution frameworks to optimize claims processing. Pegasystems software will be used to increase the number of IBC claims that are processed without any manual intervention, reducing the number of pending claims and improving the productivity of claims examiners.

“Through several new process and technology enhancements we’re making, such as implementing the Pega software platform, Independence Blue Cross can improve the overall service experience of our customers, members, and providers,” said John Janney, Vice President, Enrollment and eBusiness, Independence Blue Cross. “Specifically, the SmartBPM® suite will help us create a more seamless claims process, helping to shorten the time it takes to pay a claim, while ensuring the highest degree of accuracy.”

“Our revolutionary technology is directly suited to help leading companies like Independence Blue Cross increase customer satisfaction across multiple lines of business,” said Elizabeth Hart, senior director, healthcare, Pegasystems.  “We are pleased to have been selected by IBC and look forward to working with them for their immediate claims and sales requirements today, while looking for additional advantages we can bring to them and their members in the future.”

 

About Independence Blue Cross

Independence Blue Cross is a leading health insurer in Southeastern Pennsylvania. Nationwide, Independence Blue Cross and its affiliates provide coverage to nearly 3.4 million people. For nearly 70 years, Independence Blue Cross has offered high-quality health care coverage tailored to meet the changing needs of members, employers, and health care professionals. For more information about Independence Blue Cross, please visit www.ibx.com.

About Pegasystems

Pegasystems (NASDAQ: PEGA) develops strategic applications for marketing, sales, service, and operations. Pega’s applications streamline critical business operations, connect enterprises to their customers seamlessly in real-time across channels, and adapt to meet rapidly changing requirements. Pega’s Global 3000 customers include many of the world’s most sophisticated and successful enterprises. Pega’s applications, available in the cloud or on-premises, are built on its unified Pega 7 platform, which uses visual tools to easily extend and change applications to meet clients’ strategic business needs. Pega’s clients report that Pega gives them the fastest time to value, extremely rapid deployment, efficient re-use, and global scale. For more information, please visit us at www.pega.com.

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The information contained in this press release is not a commitment, promise, or legal obligation to deliver any material, code or functionality. The development, release and timing of any features or functionality described remains at the sole discretion of Pegasystems, Pegasystems specifically disclaims any liability with respect to this information.

 

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