Prolifics Makes Enrollment and Claims Processing More Efficient For EmblemHealth



  • IBM Integration Bus
  • IBM Decision Server Rules
  • IBM DataPower
  • IBM Business Monitor
  • IBM Tivoli Composite Application Monitor for Transactions (ITCAM)
  • IBM SmartCloud Application Performance Management


EmblemHealth is the largest health insurer in New York State, with over 3 million members—and that number is growing every day. To provide their clients with the information they need and the service they deserve, EmblemHealth had to surmount three major challenges: the modernization of their point-to-point legacy systems, the integration of those systems with an industry-leading claims processing system, and a more efficient method of onboarding the high volume of new enrollees due to the 2010 Affordable Care Act.

Unmatched integration expertise would be needed in order for all three challenges to be met within the company’s six month deadline for completion. They found that expertise in Prolifics.