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Enterprise Application DevelopmentBanking, Financial Services & Insurance

Automating Electronic Data Interchange for Streamlined COBRA Administration

Discover how MetaDesign Solutions developed a robust EDI solution for Navia Benefits, automating COBRA administration and streamlining data exchange.

Dell Boomi · EDI Integration · SQL Server
Client: Navia Benefits
Robust EDI Solution for COBRA Benefits Management

Project Overview

MetaDesign Solutions collaborated with Navia Benefits to develop a robust Electronic Data Interchange (EDI) solution. The integration automated COBRA administration, ensuring timely and accurate data exchange between Navia and its carrier partners while addressing data management challenges.

Solution Scope and Services

MetaDesign Solutions implemented a scalable, automated EDI integration using Boomi for data integration and SQL Server Management Studio for data management, streamlining COBRA administration.

Automated EDI Integration

Leveraging Boomi’s integration platform, MetaDesign automated data transfer between Navia and carrier partners, significantly reducing manual updates and interventions.

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Carrier System Integration

The solution consolidated and standardized data formats across varying carrier account structures, ensuring smooth and efficient integration with the Navia platform.

Discrepancy Resolution

Built-in functionality to identify and resolve discrepancies in claims submissions, premiums, and key data, ensuring accuracy across the system.

Key Challenges

01

Legacy Boomi Process with SQL Scripts

The existing integration relied on manual SQL script adjustments for each new client or carrier onboarding.

02

Varying Carrier Account Structures

Each carrier had different account structures, complicating data consolidation.

03

Discrepant Document Formats

Multiple document formats from various clients lacked standardization.

80%
Reduction in manual data entry
100%
Automated carrier data exchange
3x
Faster data processing
0
Manual SQL scripts needed

Results & Outcomes

The automated EDI solution streamlined COBRA administration, reducing manual intervention and ensuring faster, more accurate data processing. The integration of multiple carrier systems with automation resulted in significant operational improvements and a strong foundation for future scalability.

FAQ

Frequently Asked Questions

Common questions about this topic, answered by our engineering team.

A robust automated Electronic Data Interchange solution that streamlines COBRA benefits administration by automating data exchange between Navia and carrier partners.

Dell Boomi is used for data integration, with SQL Server Management Studio for data management.

The solution consolidates and standardizes data formats across different carrier account structures for smooth integration.

Yes, built-in functionality identifies and resolves discrepancies in claims, premiums, and other key data automatically.

The solution supports ANSI X12, EDIFACT, and HL7 standards with configurable mappings, enabling seamless B2B data exchange across healthcare, retail, logistics, and manufacturing industries.

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