HEALTH INSURANCE
PROJECT NAME
Communications and scriptingCLIENT PROFILE
A health insurance company, serving more than 880,000 members, in Missouri and Kansas.- Industry: Health Insurance
- Location: Midwestern United States
- Products: Individuals and Family Plans, Group Health Insurance Plan
- Technical Environment:
- Hardware(and OS): Unix
- Software(and version): GIS 4.2
- Communications software (and version): Unix and GIS
- ERP: mixed, i.e. Peoplesoft, Trizetto, etc.
- Relevant to the project...
- Number of Trading Partners: 50+
- Number of Maps:
- Number of Business Processes: 60+
- Number of Scripts:
- Other:
BUSINESS CASE
- Increase revenue processed by EDI P.Os
- Save company in compliance chargebacks
It had been very tough and time consuming to create and to maintain the scripts, to monitor and to re-process the daily jobs. All the communications, compression or decompression, encryption or decryption had been handled through the Unix scripting. The scheduling and the e-mail notification had been handled through the mainframe jobs.
The customer intends to use GIS as a communication gateway and as a depository/archiving of files being sent or received through the gateway. The mainframe will soon go away. GIS will be in place to play the role of the mainframe.
SITUATION
- Company installed Sterling Commerce GIS 4.2 UNIX in 2007.
- Sterling Commerce had set-up the mailboxes allowing the customers to drop or pick-up files via FTP. The DOS batch jobs and Unix scripts were scheduled to run to process these files.
SOLUTION / DELIVERABLES
- Provided a GIS consultant to develop different templates to replace the existing DOS command and Unix script.
- Trained and helped two employees to use the developed templates to replace other batch jobs.
- Developed re-usable FTP sub-processes to get and put files from and to the mainframe and the Unix boxes.
OUTCOME
- Most of the batches (80+) and Unix scripts have been replaced with GIS business processes.
- Eliminated unnecessary FTPing to the Unix boxes.
- Eliminated the scheduling and e-mail alert or e-mail notification from the mainframe.
- Eliminated Unix scripting to compress or decompress, to encrypt or decrypt, to FTP and to handle complex file requirements from the clients.
- Added additional communication protocols such as FTPS and SFTP to meet the clients' requirements such as banks.
- Expanded the use of the mailboxes to handle different file processes.
- A process can be re-started without reloading files.

