Home / Case Studies / Brand New Day
Brand New Day came to SPM Services as a 2,500-member Medicare Advantage Health Plan, with expectations of growing to 50K members within two years. Their Information Technology systems were fine for a small plan but did not support the volumes of encounters that would come with a large commercial health plan.
Core system deliverables & architecture
Six foundational digital pillars custom engineered to transform legacy operational bottlenecks into resilient, compliant enterprise workflows.
Enterprise scope • 6 Production Pillars
Data ingestion & EDI
Built an EDI conversion routine that converts existing EDI layouts such as HCFA 1500 into EMRs and other backend systems to aid in HEDIS compliance.
Member digital front door
Build an online portal for members.
Broker & agency network
Build a broker commissions application that calculates broker commissions for insurance brokers and independents. Create a broker portal for insurance agencies to validate their payments.
Clinical administration
Build a physician practice management portal for practices to manage their directories.
Compliance & provider search
Build an online directory that is updates daily with the latest physician data.
Mobile healthcare access
Build a member application to run on a mobile device.