Configuration Across the Technology Lifecycle
Platform Configuration + Optimization
Workflows, edits, routing logic, requirements, and process improvements
Implementation + Upgrades
Configuration, requirements validation, testing, and deployment
Legacy Platform Support
Maintain and optimize critical platforms while preparing for modernization
Business Line Enablement
Support Medicaid, Medicare Advantage, ACA, and commercial requirements
Migration + Transformation
Bridge legacy environments and next-generation claims platforms
Healthcare + Claims Technology Experience
As part of Alivia’s Data & IT Services business unit, formerly SourcEdge, we bring deep healthcare payer and claims technology expertise led by former health plan IT executives, claims system leaders, and developers. Our specialists work alongside internal teams to configure, optimize, and extend critical claims platforms while helping organizations meet immediate priorities and prepare for what comes next.
Platform Experience
We bring experience across complex claims platform modernization and migration initiatives. Our teams have supported 30-year legacy platform migrations to HealthRules®, AMISYS-to-QNXT transitions, Facets® configuration and go-live readiness, and a full Azure migration completed in 14 months. These engagements have helped health plans improve implementation readiness, streamline configuration, and maintain critical claims operations through major system transitions. Alivia also has deep experience with Burgess Source®, Epic Payer Platform, Conduent HSP Payer Suite, and PowerMHS / PowerSTEPP.
CONFIGURATION CAPABILITIES
Platform Configuration + Optimization
Workflows, edits, routing logic, requirements, and process improvements
Implementation + Upgrades
Configuration, requirements validation, testing, and deployment
Legacy Platform Support
Maintain and optimize critical platforms while preparing for modernization
Business Line Enablement
Support Medicaid, Medicare Advantage, ACA, and commercial requirements
Migration + Transformation
Bridge legacy environments and next-generation claims platforms
Case Study Snapshot
Modernizing Facets Workflows
A leading regional health plan optimized TriZetto Facets™ workflows with Alivia’s support to reduce configuration delays and enhance cross-functional coordination.
Facets Configuration Support
A mid-sized payer accelerated go-live readiness by leveraging Alivia for environment refreshes, configuration QA, and integration testing on Facets™.
AMISYS Migration + Claims Run-Out
A large Florida health plan leveraged specialized expertise to support its AMISYS migration and maintain claims run-out through the platform transition, enabling a seamless move to AMISYS Advance despite significant logistical challenges and a compressed timeframe.
AMISYS Configuration Expertise
A regional health plan leveraged specialized AMISYS expertise to address complex configuration requirements and meet critical implementation deadlines.
HealthRules Implementation & Modernization
Supported a large regional health plan’s migration from a 30-year legacy platform to HealthRules®, providing implementation leadership, configuration expertise, and requirements validation.
- Potential 10X improvement in process clarity, system reliability, and operational efficiency
- Scalability for five years of projected membership growth
- Support for 700,000+ members and 34,000+ providers
Legacy Platform Modernization
CommunityCare of Oklahoma transitioned to Azure and upgraded legacy systems, completing full migration in 14 months, on time and on budget.
HealthRules & Burgess Configuration Support
Supplied experienced HRP and Burgess Source configuration consultants to support a large health plan’s claims modernization efforts, helping streamline implementation activities and enhance platform readiness.
AMISYS to QNXT Migration Support
Provided subject matter expertise to support a large health plan’s transition from AMISYS to QNXT, helping streamline implementation activities and ensure a successful cutover.