Our Customers

FirstCare Health Plans

Since 1985, FirstCare Health Plans has provided access to high-quality, affordable healthcare across North, West, and Central Texas.

The Challenge

FirstCare Health Plans

How can data become valuable again when you rely on two different claims systems and data warehouses, disparate reporting systems, and lack important KPIs?

The Strategy

Use WebFOCUS to create BI dashboards reflecting current claims volume, revenue, membership, expenses, medical loss ratios, and other important variables, while tying KPIs to annual goals.

Lori Wheeless
Director of BI

FirstCare had a pending inventory of 80,000 claims. After automating its claims reporting process with WebFOCUS, it reduced that number to 6,000. Dealing with these backlogs improves retention and satisfaction among the provider network.

The Outcome

The company has made dramatic improvements in claims processing efficiency that improve member services and boost provider retention.