Community First Health Plans (CFHP) is a San-Antonio-based, non-profit health plan providing health care coverage for hundreds of thousands of members of the diverse south-central Texas community.
CFHP faced numerous operational and compliance challenges related to an aging EDI integration platform. 837, 835, 834, 999, and 277-CA inbound and outbound processes required replacement. CFHP wanted to utilize their long-time, trusted implementation partner for the T-Connect implementation. CFHP had a very aggressive deadline. Roadmap for 2018 includes QNXT Connect integration.
In January 2018, CFHP purchased the T-Connect platform to replace their legacy integration system. Claims, payments, enrollments, and response file workflows were rapidly implemented to replace legacy processes. CFHP’s implementation partner was impressed with T-Connect’s flexibility and speed-to-market characteristics. Tallan successfully met their deadline and implementation requirements.