In addition to full outsourcing arrangements, Caribou Systems will provide experienced consultants to supplement your in-house staff. We can offer a complete team to implement a specific application development or maintenance project, or we can provide individuals to work within your team. Expert services Caribou offers include:

New Enterprise Systems Implementation
Healthcare payers who have made the decision to implement a new enterprise system, such as MetaVance® (EDS®), Facets® (TriZetto®) or QNXT® (QCSI®), will find Caribou’s exceptional health insurance industry and software knowledge to be an advantage in the full implementation of a new system.

Modernization
Modernization can help retain the valuable business logic housed in legacy systems while making data more accessible, simplifying application maintenance and making systems more efficient. Caribou has the business and technical expertise to assist clients in developing and implementing a modernization strategy.

System Modifications and/or Configuration for New Business Offerings
Healthcare payers need to be able to enhance their business offerings to remain competitive in the marketplace. Whether implementing new benefit plan designs, provider contracts, or member services, Caribou Systems can help align your systems to support those offerings. Caribou can provide a full development team that includes services such as configuration and business analysis.

Legislative Modifications
Companies are continuously faced with both state and federal legislative mandates. Some require minor enhancements to existing systems, such as OFAC, SSN legislation, Late Claim Interest or NY/MA Surcharge. Others such as HIPAA may have a major impact on the ways companies do business.

Claim Auto Adjudication Improvements
Internal experts are involved in strategic initiatives and the necessary business experience can be difficult to find. Caribou has experienced Business Analysts who can assist a client in analyzing current claim adjudication results, identifying opportunities, and developing an action plan for improvement.

System Integration
Companies are improving the functionality of their existing systems by integrating expert packages. Caribou has assisted clients with integrating common software packages such as SuperOp® or ClaimCheck® in their environments.

System Migration Support
System migrations and conversions have become commonplace in today's highly volatile world of mergers and acquisitions. Caribou has developed a record of successful migrations involving medical and dental claims, and provider systems.

Testing Methodology
Caribou Systems employs a comprehensive approach to system testing, which includes planning and executing thorough end-to-end tests. Our Quality Assurance Analysts have extensive knowledge in testing methodologies and regression tools.