List of SS&C PowerMHS Customers
Windsor, 6095, CT,
United States
Since 2010, our global team of researchers has been studying SS&C PowerMHS 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 SS&C PowerMHS 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 SS&C PowerMHS for Core Admin Processing System include: Cigna Healthcare, a United States based Insurance organisation with 71295 employees and revenues of $244.38 billion, Independence Health Group, a United States based Insurance organisation with 14000 employees and revenues of $31.10 billion, Healthfirst, a United States based Insurance organisation with 5800 employees and revenues of $2.50 billion, Blue Cross & Blue Shield of Vermont, a United States based Insurance organisation with 415 employees and revenues of $940.0 million and many others.
Contact us if you need a completed and verified list of companies using SS&C PowerMHS, 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 SS&C PowerMHS 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 |
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Blue Cross & Blue Shield of Vermont | Insurance | 415 | $940M | United States | SS&C Technologies | SS&C PowerMHS | Core Admin Processing System | 2008 | n/a |
In 2008 Blue Cross & Blue Shield of Vermont deployed SS&C PowerMHS as its Core Admin Processing System to modernize core administration, claims processing and benefits configuration across its Vermont operations. The deployment framed the application as a central platform to align business and IT processes and to provide a single administration backbone for plan configuration and adjudication workflows.
The implementation of SS&C PowerMHS covered core administration workflows including claims processing and benefits configuration, policy and membership administration, and rules driven adjudication typical of a Core Admin Processing System. Configuration work focused on benefits objects, eligibility rules, and claims routing to support state specific coverage rules and plan variations.
Integrations were implemented to enable tighter integration across business applications and to accelerate solution delivery, with operational coverage scoped to Blue Cross & Blue Shield of Vermont and cross functional business and IT teams. The deployment supported coordination between enrollment, claims operations and IT change processes to reduce handoffs and centralize administration.
Governance changes accompanied the rollout to better align business and IT processes, creating formalized configuration management and change control around SS&C PowerMHS. The organization cites the move to SS&C PowerMHS as a key enterprise modernization that enabled tighter integration across business applications and faster solution delivery.
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Cigna Healthcare | Insurance | 71295 | $244.4B | United States | SS&C Technologies | SS&C PowerMHS | Core Admin Processing System | 2002 | n/a |
In 2002, Cigna HealthCare deployed SS&C PowerMHS as one of its Core Admin Processing System platforms during a large scale member migration in the United States. The implementation ran on AS/400 infrastructure and positioned SS&C PowerMHS as a central claims-processing engine within Cigna HealthCare operations.
SS&C PowerMHS was used for core claims adjudication and benefits administration workflows, supporting rule-based adjudication and high-volume transaction processing typical of a Core Admin Processing System. Configuration focused on claims workflow orchestration, batch adjudication schedules, and exception routing to downstream operational teams.
The platform was integrated with other back-end systems to support end-to-end member and claims lifecycle processing, which tied the SS&C PowerMHS instance into enrollment feeds, eligibility checks, and downstream financial posting systems. Operational scope for the deployment covered claims operations and benefits administration functions across the United States member migration initiative.
Governance and rollout occurred during a concentrated migration effort, and the 2002 migration experienced significant service disruptions that impacted processing continuity. Those disruptions underscore risk considerations for using a centralized SS&C PowerMHS Core Admin Processing System during high-touch membership consolidation events.
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Healthfirst | Insurance | 5800 | $2.5B | United States | SS&C Technologies | SS&C PowerMHS | Core Admin Processing System | 2008 | n/a |
In 2008, Healthfirst implemented SS&C PowerMHS as its Core Admin Processing System to centralize claims adjudication and configuration for its health plan operations. The deployment established SS&C PowerMHS as the system of record for claims business rules, benefit definitions, and adjudication logic used by operations and product management teams across the organization.
The implementation focused on claims configuration capabilities, including rules based table driven claims processing, member benefit setup, claims editing rules, reference data management, code set administration, pre authorization guidelines, and medical policy enforcement to drive accurate claims payment. SS&C PowerMHS was configured to support benefit elements such as member cost shares, deductibles, and out of pocket maximums, and teams developed test scripts and regression suites to validate configuration against source documentation prior to production release.
The operational environment leveraged an analytics and testing toolset to support configuration analysis and troubleshooting, with staff using SQL, SAS, Alteryx, AWS, Python, and Tableau for data analysis, and Microsoft Project, SharePoint, Excel, and Access for project tracking, testing and reporting. The implementation environment also referenced claims editing and payment integrity tooling such as ClaimsXten, Cotiviti, and Optum Payment Integrity as part of operational workflows for claims validation and editing, alongside SS&C PowerMHS adjudication processes.
Governance centered on business rule change control, production validation, and audit strategies to ensure configuration integrity, with claims configuration analysts acting as SMEs to liaise between technical teams, testing groups, and business stakeholders. Release coordination, root cause analysis of configuration issues, and ongoing monitoring of automation levels in claims adjudication were formalized as part of the rollout and steady state operations, aligning Healthfirst SS&C PowerMHS Core Admin Processing System activity to claims operations and product management functions.
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Insurance | 14000 | $31.1B | United States | SS&C Technologies | SS&C PowerMHS | Core Admin Processing System | 2008 | n/a |
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Buyer Intent: Companies Evaluating SS&C PowerMHS
- Netmark Services, a United States based Healthcare organization with 100 Employees
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