Technology Services -> Software Development -> ConnectiCare
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ConnectiCare, based in Farmington, CT since 1982, prides itself on being
a company with superior customer service, and award-winning disease
management programs for its members with chronic conditions. Founded
by a group of doctors from Hartford Hospital, ConnectiCare was born
with the mission of establishing a health plan that would truly care
about its members. 24 years later and 550 employees strong, ConnectiCare
still lives by that same mission, serving more than 245,000 individuals
in Connecticut, western Massachusetts, and the four counties of Orange,
Putnam, Rockland and Westchester, New York.
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ConnectiCare needed a streamlined system to support the work of its Sales
and Marketing departments, Operations areas, and Pharmacy department. The
goal was to consolidate pharmacy benefit selection, employer group assignment,
and benefit review functions into one process. Each benefit would then be
linked to a line of business and a pre-assigned Benefit Plan Level (BPL)
number.
Summit Technologies analyzed ConnectiCare’s pharmacy benefit design
and its relationship to their business structure. Summit’s consulting team
collaborated with ConnectiCare to develop the BPL Generator and link it to
other ConnectiCare systems. Detailed data modeling and integration were used
to create one client/server design. Technologies involved:
- SQL Server
- DTS
- Crystal Reports
- Visual Basic
ConnectiCare's departments now have a more efficient and accurate group
enrollment process. Additionally, the services implemented provide source
data for sales and marketing collateral generation and facilitates more
efficiently pharmacy benefit reporting.
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