Systems and Processes
This customer is a Fortune 20 pharmacy benefits management organization, offering network-pharmacy claims processing, home delivery pharmacy services, specialty pharmacy benefits management, and additional healthcare-related solutions. Every year this customer processes millions of home-delivery prescriptions.
4th Source has been a partner of this organization for over ten years, and has helped them save tens of millions of dollars in productivity benefits.
This organization had recently acquired a claims management company to expand their market reach. The acquisition introduced the challenge of having and supporting disparate software systems.
4th Source was tasked with creating a solution to make system integration seamless during the merger & acquisition, ensuring a minimal impact on employee users and patient services. Essential project elements included the following:
4th Source had been supporting software systems across the business, and was selected as the ideal partner for the M&A project. The 4th Source team analyzed existing business systems and identified the changes needed to accommodate functionality across new product lines.
By leveraging skilled resources, the 4th Source team successfully streamlined business processes and activities in billing, claims adjudication and order processing while ultimately decommissioning redundant systems. This enabled the customer to offer new products and services to their customers without affecting patient care. The successful implementation of this project optimized business processes and reduced costs within the new business line.
Industry consolidation has reduced costs for this organization while boosting its bargaining strength against suppliers. To find out how you can get a minimally impactful M&A system integration, visit our data services page.