MetaDesign Solutions
MetaDesign SolutionsMetaDesign Solutions partners with Navia Benefits to streamline COBRA administration processes through a scalable and efficient EDI integration solution, automating data exchange, and enhancing operational efficiency for multiple carriers and clients
Overview
MetaDesign Solutions collaborated with Navia Benefits, a leader in COBRA benefits management, to develop a robust Electronic Data Interchange (EDI) solution. The integration improved operational efficiency by automating COBRA administration, ensuring timely and accurate data exchange between Navia and its carrier partners. The solution streamlined critical processes, reduced manual intervention, and addressed significant data management challenges related to varying carrier account structures and disparate document formats.
about the client
Navia Benefits is a premier provider of COBRA benefits management and other account-based benefit programs. Their services support organizations by managing employee benefits such as COBRA, FSA, HSA, and other tax-advantaged accounts. With a focus on ensuring a smooth transition during life events like termination, retirement, or other qualifying events, Navia helps organizations manage these sensitive processes while ensuring compliance.
Navia Benefits’ platform is highly flexible and designed to meet the needs of employers and employees. The company’s advanced software and expert team handle critical COBRA administration tasks, including open enrollment, premium billing, and carrier eligibility. Navia’s innovative platform powers a wide array of benefit funding and payment solutions, enabling employers to focus on active employee benefits while ensuring a seamless benefits experience for former employees.
Industry Domain
Service Category (Service-line)
Dell BOOMI
Technologies Used
EDI Integration
Dell BOOMI
Data Transformation
ERP Integrations
Challenges
Legacy Boomi Process with SQL Scripts:The existing integration process relied heavily on SQL scripts for each customization, which required manual adjustments every time a new client or carrier was onboarded. This method was inefficient and prone to human error, leading to increased maintenance efforts and delayed processing times.
Varying Carrier Account Structures: Each carrier had a different account structure, which created complications when attempting to consolidate data for processing. This inconsistency in carrier structures made it difficult to ensure accurate data handling and timely reporting.
Discrepant Document Formats: The process was further complicated by the need to handle multiple document formats from various clients. The lack of a standardized format made it difficult to extract, filter, and analyze the data efficiently, slowing down the processing cycle.
Solution Scope and Services
MetaDesign Solutions partnered with Navia Benefits to implement a scalable, automated EDI integration solution using Boomi for data integration and SQL Server Management Studio (SSMS) for data management. The project focused on streamlining the COBRA administration process and overcoming the challenges posed by legacy systems, varying carrier data structures, and document discrepancies.
Automated EDI Integration for Seamless Data Exchange
Leveraging Boomi’s integration platform, MetaDesign Solutions automated the transfer of data between Navia Benefits and its carrier partners, significantly reducing the need for manual updates and interventions
Carrier System Integration
The solution addressed the varying account structures of each carrier by consolidating and standardizing data formats, ensuring smooth and efficient integration with the Navia platform.
Discrepancy Resolution
MetaDesign Solutions built functionality to identify and resolve discrepancies in claims submissions, premiums, and other key data, ensuring accuracy and reducing errors across the system.
Results
Through its collaboration with Navia Benefits, MetaDesign Solutions successfully addressed the challenges of legacy integration processes, varying carrier account structures, and disparate document formats. By implementing a robust, automated EDI solution, the project streamlined COBRA administration, reducing the need for manual intervention and ensuring faster, more accurate data processing.
The integration of multiple carrier systems into the Navia platform, combined with the automation of key tasks, resulted in significant operational improvements. This solution now empowers Navia Benefits to deliver exceptional service to its clients while ensuring accurate and timely COBRA benefit processing. The successful implementation also lays a strong foundation for future scalability, supporting Navia’s continued growth and innovation in the benefits management space.