Project Name: Architecture and Performance Assessment for VA Claims Processing
Business Objective: After Orbitz.com was initially launched they were experiencing rapid growth – processing 40 to 50k credit card transactions per day, and had over 7500 new accounts per day created on their website. However, Orbitz was losing a significant portion ($5.5 out of $27 million in sales) in credit card fraud each year. A strategic business objective was to detect and dramatically reduce online fraud, resulting in gross margin as well as profit increases.
Solution
US Department of Veterans Affairs (aka “the VA”), engaged Harmonic to research software architectures and processes as follows:
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- Assess the current state of VA claims applications and tracking processes in the VA, as part of the multi billion dollar US Federal government appropriation for this effort in the VA to reduce backlog and wait times for claims.\r\nIdentify any and all human and computer based systems and workflows to process a claim from initiation, to approval, to treatment(s), to payout(s), to closure.
- Identify reporting mechanisms, and flaws or slowdowns in the various systems</li>\\r\\n <li>Anayze and prepare a plan to streamline the multiple systems to increase time to closure of claims applications for US veterans of all military branches.
- Harmonic obtained top level civilian security clearance for its personnell on this project
- Harmonic presented recommendations for streamlining over 65 distinct, legacy software applications and over 100 paper processes and workflows, into a modern, futuristic new architecture, that was a single system with a dozen or so integrated components.
- Harmonic provided architecture and recommendations for a phased solution that, when complete, would promise to reduce claims times from over 180 days on average, to less than 45 days on average.
