PegaWorld iNspire 2024: Virtusa Enables Healthfirst to Onboard and Manage Providers More Efficiently

A not-for-profit Health Insurer wanted to improve care provider score and streamline provider onboarding process. Their old process was manual with fragmented systems that didn't provide enough visibility on the provider onboarding status, ultimately causing claims processing delays. Virtusa partnered with this Insurer to build a Unified Provider 360 view using PEGA constellation and establishing a single source of truth of provider data. Together, we built highly intuitive and rule-based platform that enabled the client to improve data accuracy and care provider score.