List of Epic Payer Platform Customers
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Since 2010, our global team of researchers has been studying Epic Payer Platform customers around the world, aggregating massive amounts of data points that form the basis of our forecast assumptions and perhaps the rise and fall of certain vendors and their products on a quarterly basis.
Each quarter our research team identifies companies that have purchased Epic Payer Platform for Core Admin Processing System from public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources, including the customer size, industry, location, implementation status, partner involvement, LOB Key Stakeholders and related IT decision-makers contact details.
Companies using Epic Payer Platform for Core Admin Processing System include: Centene, a United States based Healthcare organisation with 60500 employees and revenues of $163.07 billion, HCSC (Health Care Service Corporation), a United States based Banking and Financial Services organisation with 28000 employees and revenues of $54.75 billion, CareSource, a United States based Insurance organisation with 4500 employees and revenues of $11.80 billion, Corewell Health, a United States based Healthcare organisation with 65000 employees and revenues of $8.14 billion, MetroHealth, a United States based Healthcare organisation with 7800 employees and revenues of $1.30 billion and many others.
Contact us if you need a completed and verified list of companies using Epic Payer Platform, including the breakdown by industry (21 Verticals), Geography (Region, Country, State, City), Company Size (Revenue, Employees, Asset) and related IT Decision Makers, Key Stakeholders, business and technology executives responsible for the software purchases.
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| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight |
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Blue Cross and Blue Shield of Louisiana | Insurance | 2500 | $1.1B | United States | Epic Systems | Epic Payer Platform | Core Admin Processing System | 2021 | n/a |
In 2021, Blue Cross and Blue Shield of Louisiana implemented Epic Payer Platform as its Core Admin Processing System to centralize payer administration, claims operations, and enrollment workflows. The deployment targeted insurer business functions including claims adjudication, membership and benefits administration, provider data management, billing orchestration, and care management coordination.
Configuration work for Epic Payer Platform emphasized role based access and business rules for adjudication, configurable benefit and tier structures, and workflow automation for care coordination. Implementation staffing and capabilities reflected internal emphasis on operational readiness, with a Training Manager for Epic Payer Platform and Care Transformation Consultant roles supporting curriculum development, super user networks, and clinical administration needs tied to the Quality Blue Primary Care program QBPC.
Operational coverage included payer operations, clinical partnerships, and care management teams, with the platform instrumented to consume membership and claims feeds and to surface provider network and care management data for clinical programs. Integrations were structured around data flows between payer administrative functions and internal care management processes to support programmatic reporting and clinical workflows for the QBPC initiative.
Governance and rollout were organized around business systems analysis, training led adoption, and care transformation governance, with business systems analysts and training leadership driving workflow redesign and cutover sequencing. The implementation narrative centers on using Epic Payer Platform as the Core Admin Processing System to unify payer administration, claims processing, and care coordination across BCBSLA operations.
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CareSource | Insurance | 4500 | $11.8B | United States | Epic Systems | Epic Payer Platform | Core Admin Processing System | 2022 | n/a |
In 2022, CareSource implemented Epic Payer Platform, a Core Admin Processing System, to centralize payer administration across its United States operations. The Epic Payer Platform was positioned to support enterprise claims, member administration, eligibility and enrollment, and care management workflows, aligning the application with core insurance administration functions.
The deployment focused on configuring standard payer modules within Epic Payer Platform, including claims adjudication, provider directory management, member lifecycle management, and quality reporting capabilities. Configuration work emphasized rules-based adjudication, enrollment interfaces, and care management case workflows to support insurance operations and health plan administration.
CareSource integrated Epic Payer Platform with electronic clinical data systems to support Healthcare Effectiveness Data and Information Set reporting, and the company serves as a representative on multiple data sharing committees. Those committees include the Indiana Network for Patient Care Management Committee, Ohio’s Health Care Coverage and Quality Council Health Information Technology Task Force, and the American Health Insurance Plans Health Information and Technology and Interoperability Workgroup, which informed methods for using clinical data in HEDIS measures.
Governance changes aligned IT, quality measurement, and population health teams to operationalize electronic clinical data for HEDIS and interoperability initiatives. Epic Payer Platform supports ongoing workflows for claims processing, quality measurement, and care management, while committee participation provided CareSource a forum to standardize reporting approaches using clinical data sources.
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Centene | Healthcare | 60500 | $163.1B | United States | Epic Systems | Epic Payer Platform | Core Admin Processing System | 2021 | n/a |
In 2021 Centene implemented Epic Payer Platform as a Core Admin Processing System to support payer-side clinical and administrative workflows. The Epic Payer Platform implementation included Clinical Data Exchange capabilities and membership processing as primary operational areas, with direct support for Clinical Data Exchange for Centene and Elevance and onboarding of more than 50 healthcare organizations nationwide.
Configuration and module work focused on data ingestion pipelines, membership management, clinical and administrative workflow validation, and server stability tuning. Epic Payer Platform was exercised through user acceptance testing and performance improvement plans, and Centene business analysts supported configuration, feature requirement definition, and UAT to surface implementation barriers and refine system behavior.
The deployment included interoperability components, specifically Care Everywhere and EpicCare Link for provider-to-provider exchange, and operational reporting integration through Power BI for the VCO tracker used by Epic Payer Platform membership teams. Workstreams referenced experience with Workday HRIS for related HR and resourcing alignment, and technical ownership emphasized data ingestion stabilization and issue investigation across application services.
Governance was formalized through functional area experts and internal workgroups to track issue investigations, host new member education sessions, and coordinate biweekly communications for a more than 100 person team. Process improvement and product development activities gathered stakeholder feedback, informed configuration and code adjustments to reduce redundancy, and maintained implementation timelines to foster optimal system performance on the Epic Payer Platform.
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Healthcare | 65000 | $8.1B | United States | Epic Systems | Epic Payer Platform | Core Admin Processing System | 2020 | n/a |
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Banking and Financial Services | 28000 | $54.7B | United States | Epic Systems | Epic Payer Platform | Core Admin Processing System | 2020 | n/a |
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Healthcare | 7800 | $1.3B | United States | Epic Systems | Epic Payer Platform | Core Admin Processing System | 2016 | n/a |
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Buyer Intent: Companies Evaluating Epic Payer Platform
- American Hospital Association, a United States based Healthcare organization with 1500 Employees
- American Tower, a United States based Communications company with 6391 Employees
- Krono, a India based Professional Services organization with 120 Employees
Discover Software Buyers actively Evaluating Enterprise Applications
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