Skip to content

BCBS HCSC Mulesoft Integrations & Legacy Modernization

Background

Blue Cross Blue Shield (BCBS) Health Care Service Corporation (HCSC) required enterprise integration and legacy modernization support for the Claims Eligibility and Durable Medical Equipment (DME) Rental as a Service functions. BCBSselected MuleSoft as its integration and migration tool for modernizing legacy IBM DataPower applications.

Challenge

HCSC needed improved and high-performance medical claim processing, with all legacy mainframe integrations to be processed over MuleSoft for improved performance and scalability. Further, they desired to streamline FEP (Federal Employees Program) applications to identify opportunities within HCSC membership and coordination of benefits without operator intervention.

Solution

Niha's team migrated over 150+ applications from IBM DataPower to MuleSoft for rapid modernization with accelerated innovation and delivery. Our team delivered Claims Eligibility and DME Rental as a Service using MuleSoft’s Anypoint platform for application delivery and MuleSoft's connectors like X12 for parsing EDI & HIPAA validation and IBM MQ for JVM.

Outcome

Niha Tech supported HCSC in migrating and developing 200+ applications across the USA. Our team delivered critical MuleSoft applications that helped manage a volume of 1.5 million transactions per day with 1.5 billion mappings per day as part of MuleSoft Integrations. This project resulted in total operating cost savings of $1.5 million annually, and reduced potential person-hours, improving both productivity and speed of claims processing.

Background

Blue Cross Blue Shield (BCBS) Health Care Service Corporation (HCSC) required enterprise integrations and legacy modernization support for the Claim Eligibility and Durable Medical Equipment(DME) Rental as a Service functions. They had selected Mulesoft as the integration and migration tool for modernization of its legacy IBM Datapower applications

Challenge

HCSC needed improved and highly performance medical claim processing, with all the legacy Mainframe integrations to be processed over MuleSoft for improved performance and scalability. Further they desired to streamline FEP(Federal employees program) applications to identify opportunities within HCSC membership and coordination of benefits without operator intervention

Niha’s Solution

Niha team migrated over 150+ Applications from IBM DataPower to MuleSoft for rapid modernization with accelerated innovation and delivery. We delivered the Claims Eligibility and DME Rental as Service using Mulesoft Anypoint platform for application delivery, MuleSoft connectors like X12 for parsing EDI & HIPAA validation. IBM MQ for JM

Outcome

Niha supported HCSC in migrating or developing 200+ applications all across the USA. Our team delivered critical MuleSoft ESB applications that helped manage a volume of 1.5 million transactions per day with 1.5 billion mappings per day as part of MuleSoft Integrations. This project resulted in total operational cost savings of $1.5 million annually and the potential man hours were reduced improving both productivity and speed of claims processing

Leave a Reply

Your email address will not be published. Required fields are marked *