PBM platform transformation [i]accelerates go-to-market by 2 years[/i]
Procella Health's SaaS PBM platform, rebuilt for enterprise scale and delivered under budget.
The challenge
The challenge
The challenge
The challenge
The challenge
Technical debt from a previous partner left Procella [i]behind schedule[/i] without a market-ready product.
Technical debt from a previous partner left Procella [i]behind schedule[/i] without a market-ready product.
Technical debt from a previous partner left Procella [i]behind schedule[/i] without a market-ready product.
Technical debt from a previous partner left Procella [i]behind schedule[/i] without a market-ready product.
Technical debt from a previous partner left Procella [i]behind schedule[/i] without a market-ready product.
Procella Health's independently owned SaaS PBM platform lets pharmacy benefit managers and insurers configure custom plans and process claims for 2M members a month.
Technical debt
Technical debt
Technical debt
Technical debt
Technical debt
Inconsistent, poorly documented legacy code blocked progress.
Extended timelines
Extended timelines
Extended timelines
Extended timelines
Extended timelines
Unresolved debt pushed the original completion target out.
Growing costs
Growing costs
Growing costs
Growing costs
Growing costs
Significant spend with the previous partner hadn't produced a market-ready product.
Integration gaps
Integration gaps
Integration gaps
Integration gaps
Integration gaps
UI screens matched wireframes but weren't connected to the database or API.
The vision for Procella Health
The vision for Procella Health
The vision for Procella Health
The vision for Procella Health
The vision for Procella Health
Procella is an independently-owned PBM platform designed to adapt with changing technologies and provide a user experience like no other on the market. Through their SaaS they enable pharmacy benefits managers and insurance company representatives to configure highly customized policies and process claims for 100,000 to 20M members monthly.
What Praxent did
What Praxent did
What Praxent did
What Praxent did
What Praxent did
A go-forward architecture and a compliant claims platform
A go-forward architecture and a compliant claims platform
A go-forward architecture and a compliant claims platform
A go-forward architecture and a compliant claims platform
A go-forward architecture and a compliant claims platform
Praxent audited the codebase, set a go-forward architecture and built an intuitive, NCPDP-compliant platform with Procella's backend team.
Technical audit and go-forward architecture
Technical audit and go-forward architecture
Technical audit and go-forward architecture
Technical audit and go-forward architecture
Technical audit and go-forward architecture
Intuitive plan configuration for complex coverage rules
Intuitive plan configuration for complex coverage rules
Intuitive plan configuration for complex coverage rules
Intuitive plan configuration for complex coverage rules
Intuitive plan configuration for complex coverage rules
NCPDP-compliant claim submission tool
NCPDP-compliant claim submission tool
NCPDP-compliant claim submission tool
NCPDP-compliant claim submission tool
NCPDP-compliant claim submission tool
Coverage rules and audit trail delivered through APIs
Coverage rules and audit trail delivered through APIs
Coverage rules and audit trail delivered through APIs
Coverage rules and audit trail delivered through APIs
Coverage rules and audit trail delivered through APIs
Praxent handed over all code, design files, technical documentation and recorded status updates for a complete transfer.
The results
The results
The results
The results
The results
Released two years ahead of plan
Released two years ahead of plan
Released two years ahead of plan
Released two years ahead of plan
Released two years ahead of plan
The release moved from 2022 to 2020, delivered 8% under budget with positive reviews of the first product demos, on a new, consistent platform with a cleaner, more intuitive UI.
Procella's claims adjudication platform is ready for enterprise scale.
Praxent definitely exceeded our expectations. Everything the Praxent team touched made an impact. I'm much more confident in the platform now.
