List of Oracle Health Insurance Customers
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Since 2010, our global team of researchers has been studying Oracle Health Insurance 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 Oracle Health Insurance 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 Oracle Health Insurance for Core Admin Processing System include: Humana, a United States based Insurance organisation with 65680 employees and revenues of $117.76 billion, Point32Health, a United States based Insurance organisation with 4000 employees and revenues of $9.40 billion and many others.
Contact us if you need a completed and verified list of companies using Oracle Health Insurance, 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.
The Oracle Health Insurance customer wins are being incorporated in our Enterprise Applications Buyer Insight and Technographics Customer Database which has over 100 data fields that detail company usage of software systems and their digital transformation initiatives. Apps Run The World wants to become your No. 1 technographic data source!
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| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight | Insight Source |
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Humana | Insurance | 65680 | $117.8B | United States | Oracle | Oracle Health Insurance | Core Admin Processing System | 2020 | n/a | In 2020, Humana implemented Oracle Health Insurance as a Core Admin Processing System to enable real-time claims adjudication and align with a corporate cloud-first initiative. Oracle Health Insurance was deployed as a cloud-based, modularized health administration system with an initial, prioritized focus on claims transformation. Humana completed initial configuration of the Oracle Health Insurance claims solution in 2020 and configured core administration capabilities for subsequent user acceptance testing. The implementation centered on claims adjudication and core admin functions while preserving modularity so the company could sequence work across membership, providers, product, claims, and clinical domains. Humana emphasized configuring the claims component first to accelerate real-time decisioning capabilities. Integration work included building interfaces to approximately 25 other systems, explicitly including third-party repricers as well as enrollment, product, provider, and clinical applications. The deployment is scoped to process claims for millions of members in Humana Medicare Advantage plans and to operate within a cloud scale architecture that supports incremental component rollout. Oracle Health Insurance was positioned to support real-time patient responsibility calculation and payment collection workflows using digital payment methods such as Apple Pay, Samsung Pay, health savings accounts, or bank accounts. Governance and rollout were organized around a mapped transformation journey, implementing one component at a time to limit cross-domain alignment complexity. Humana scheduled completion of core administration configuration in 2020, followed by UAT, with go-live planned for early 2022. The program also included exploratory work to augment claims decisioning with artificial intelligence to enable more granular approval paths and to address claims staffing pressures. | |
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Point32Health | Insurance | 4000 | $9.4B | United States | Oracle | Oracle Health Insurance | Core Admin Processing System | 2020 | n/a | In 2020, Point32Health implemented Oracle Health Insurance as its Core Admin Processing System to address aging platform constraints and align IT capability with strategic imperatives around performance, member experience, and membership growth. The decision followed an organizational mandate to standardize on Oracle technologies and leverage a componentized architecture that could support multiple product lines including Medicare Advantage across its New England network. Oracle Health Insurance was deployed as a component-based solution built on a service oriented architecture, configured to support benefit administration, claims adjudication, eligibility management, medical management, and utilization management workflows. The deployment emphasized a rules based adjudication engine and auto adjudication logic, enabling automated decisioning and modular activation of additional capabilities over time. Operational coverage included claims operations, eligibility processing, utilization management, and member services, with the implementation aligned to Point32Healths large Oracle E Business Suite footprint and broader Oracle stack choices. The implementation supported rapid regulatory response, a capability that proved critical during the onset of the COVID-19 pandemic, and enabled staff to operate systems remotely while maintaining customer experience. Governance and rollout favored a componentized, incremental deployment model that preserved business process stability while enabling iterative configuration of business rules and adjudication policies. Governance emphasized rules management, change control for regulatory updates, and close alignment between operations and IT to accelerate policy and claims rule updates. Reported outcomes include an increase in auto adjudication to over 92 percent from 85 percent, reduced spending despite the addition of multiple medical management and utilization programs, faster and more accurate claims processing, and uninterrupted customer experience during remote operations in 2020. Oracle Health Insurance serves as the operational backbone for eligibility and claims efficiency at Point32Health, enabling staff to manage eligibility, adjudicate claims, and respond to regulator requests through a unified Core Admin Processing System. |
Buyer Intent: Companies Evaluating Oracle Health Insurance
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