{"id":4266,"date":"2026-01-14T16:14:02","date_gmt":"2026-01-14T20:14:02","guid":{"rendered":"https:\/\/www.softwareag.com\/?post_type=resource&#038;p=4266"},"modified":"2026-04-15T14:17:18","modified_gmt":"2026-04-15T18:17:18","slug":"powering-operational-resilience-in-healthcare-claims","status":"publish","type":"resource","link":"https:\/\/www.softwareag.com\/es\/resources\/mainframe-optimization\/powering-operational-resilience-in-healthcare-claims\/","title":{"rendered":"Powering Operational Resilience in Healthcare Claims\u00a0"},"content":{"rendered":"<h2 class=\"wp-block-heading\" id=\"h-meet-the-customer-nbsp\"><strong>Meet the customer<\/strong>&nbsp;<\/h2>\n\n\n\n<p>AmeriBen&nbsp;manages healthcare benefits for hundreds of employer groups across the United States. With millions of claims processed annually,&nbsp;AmeriBen\u2019s&nbsp;ability to deliver&nbsp;timely,&nbsp;accurate&nbsp;data to clients is more than a technical requirement:&nbsp;it\u2019s&nbsp;a business imperative.<\/p>\n\n\n\n<p>To meet growing demands for speed, scale,&nbsp;and reliability,&nbsp;AmeriBen&nbsp;turned to Software AG\u2019s CONNX. What began as a tactical integration project has evolved into a strategic partnership underpinning the company\u2019s core operations and supporting&nbsp;its long-term modernization roadmap.&nbsp;<\/p>\n\n\n\n<div class=\"wp-block-columns alignwide is-layout-flex wp-container-core-columns-is-layout-f415f12b wp-block-columns-is-layout-flex\" style=\"margin-top:48px\">\n<div class=\"wp-block-column has-gray-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"\/app\/uploads\/2025\/08\/pico.png\" alt=\"icono del pico de la monta\u00f1a\" class=\"wp-image-362\" style=\"object-fit:contain;width:48px;height:48px\"\/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-challenges\">Desaf\u00edos<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Legacy adjudication system (GBAS) built on OpenVMS architecture&nbsp;<\/li>\n\n\n\n<li>Increasing demand for real-time data delivery and reporting&nbsp;<\/li>\n\n\n\n<li>Strict SLA requirements with financial penalties for delays&nbsp;<\/li>\n\n\n\n<li>Need to modernize infrastructure without disrupting operations&nbsp;<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column has-gray-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"\/app\/uploads\/2025\/08\/checklist.png\" alt=\"icono de lista de control\" class=\"wp-image-365\" style=\"object-fit:contain;width:48px;height:48px\"\/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-outcomes\">Resultados<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Operational continuity:&nbsp;DataSync&nbsp;runs nightly,&nbsp;365 days&nbsp;a year, with near-zero failure&nbsp;<\/li>\n\n\n\n<li>Performance gains: Sync times for large tables reduced by up to 87%&nbsp;<\/li>\n\n\n\n<li>SLA compliance: Reliable data delivery ensures&nbsp;AmeriBen&nbsp;meets contractual obligations&nbsp;<\/li>\n\n\n\n<li>Scalable growth: Thousands of jobs and hundreds of reports&nbsp;are now&nbsp;automated&nbsp;<\/li>\n\n\n\n<li>Strategic flexibility:&nbsp;AmeriBen&nbsp;can adapt quickly to new reporting needs and infrastructure changes&nbsp;<\/li>\n<\/ul>\n<\/div>\n\n\n\n<div class=\"wp-block-column has-gray-background-color has-background is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"\/app\/uploads\/2025\/08\/lightbulb.png\" alt=\"icono de bombilla\" class=\"wp-image-367\" style=\"object-fit:contain;width:48px;height:48px\"\/><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\" id=\"h-solutions\">Soluciones<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ACONNX&nbsp;DataSync\u2014for nightly synchronization of over 3.8 billion rows from GBAS to SQL&nbsp;<\/li>\n\n\n\n<li>CONNX Fast I\/O Logic\u2014for performance optimization&nbsp;<\/li>\n\n\n\n<li>VisualCron\u2014for job orchestration and automation&nbsp;<\/li>\n\n\n\n<li>Custom stored procedures\u2014for post-sync processing and reporting&nbsp;<\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n    <section\n        class=\"o-testimonials-slider\"\n        data-testimonials-slider\n aria-label=\"Testimonials\"\n    >\n        <div class=\"o-testimonials-slider__inner\">\n            \n            <div\n                id=\"testimonials-slider-1\"\n                class=\"o-testimonials-slider__viewport swiper\"\n                tabindex=\"0\"\n            >\n                <div class=\"o-testimonials-slider__track swiper-wrapper\" role=\"list\">\n                                            <article\n                            class=\"o-testimonials-slider__slide swiper-slide\"\n                            role=\"listitem\"\n                            aria-label=\"Testimonial 1 of 1\"\n                        >\n                            <blockquote class=\"o-testimonials-slider__quote\">\n                                <p>\n                                    <span class=\"quotation--opening\">\u201c<\/span>\n                                    CONNX is the transmission that powers our claims engine. Without it, we\u00a0wouldn\u2019t\u00a0be able to\u00a0operate.\n                                    <span class=\"quotation--closing\">\u201d<\/span>\n                                <\/p>\n                            <\/blockquote>\n\n                                                            <p class=\"o-testimonials-slider__attribution\">\n                                    <span\n                                        class=\"o-testimonials-slider__attribution-line o-testimonials-slider__attribution-line--person\"\n                                    >\n                                        <span\n                                            class=\"o-testimonials-slider__attribution-marker\"\n                                            aria-hidden=\"true\"\n                                        >\n                                            \u2014\n                                        <\/span>\n                                                                                <span>Tim Kathan, Data\u00a0Architect<\/span>\n                                        <\/span>\n\n                                                                            <span\n                                            class=\"o-testimonials-slider__attribution-line o-testimonials-slider__attribution-line--company\"\n                                        >\n                                                                                            <span>AmeriBen<\/span>\n                                                                                    <\/span>\n                                                                    <\/p>\n                                                    <\/article>\n                                    <\/div>\n            <\/div>\n\n                    <\/div>\n    <\/section>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-high-volume-data-processing-at-8x-speed-nbsp\"><strong>High-volume data processing at 8x speed<\/strong>&nbsp;<\/h3>\n\n\n\n<p>AmeriBen,\u202faiming to deliver exceptional service through\u202faccurate&nbsp;and&nbsp;timely&nbsp;data,\u202ffaced increasing complexity in its data operations as the company scaled.\u202fTheir established\u202fGBAS adjudication system,\u202fwhile reliable,\u202fwas not designed for the modern volume and velocity of healthcare data.\u202fTo support current demands,\u202fincluding processing\u202fbillions of rows nightly,\u202fand enable future innovations like\u202freal-time analytics\u202fand\u202fcloud-based platforms,\u202fAmeriBen&nbsp;required&nbsp;a solution capable of moving data from GBAS into modern,\u202fscalable\u202fSQL environments\u202fboth reliably and securely.<\/p>\n\n\n\n<p>After evaluating several options, including a proof of concept with&nbsp;Attunity&nbsp;(now part of Qlik),&nbsp;AmeriBen&nbsp;chose Software AG\u2019s CONNX&nbsp;DataSync. The decision was based not only on technical capabilities, but on Software AG\u2019s deep&nbsp;expertise&nbsp;in OpenVMS and proven&nbsp;track record&nbsp;of supporting complex, high-volume environments.<\/p>\n\n\n\n<p class=\"translation-block\">The implementation of CONNX marked a turning point.&nbsp;AmeriBen&nbsp;began by&nbsp;using&nbsp;DataSync&nbsp;to extract and transform data from GBAS into SQL Server. Over time, the solution evolved into a fully automated data pipeline that&nbsp;<strong>now processes over 3.8 billion rows every night<\/strong>.&nbsp;\u201cThe fast I\/O logic was a game changer for&nbsp;AmeriBen&nbsp;overnight,\u201d Tim&nbsp;Kathan, Data Architect at&nbsp;AmeriBen,&nbsp;explains. \u201c<strong>We went from a table taking eight hours to just one hour<\/strong>.\u201d<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-trust-nbsp-reliability-nbsp-and-resilience-nbsp\"><strong>Trust,&nbsp;reliability,&nbsp;and resilience<\/strong>&nbsp;<\/h3>\n\n\n\n<p>The transformation&nbsp;wasn\u2019t&nbsp;just about technology\u2014it was about trust.&nbsp;AmeriBen\u2019s&nbsp;data operations team worked closely with Software AG\u2019s CONNX experts to tailor the solution to their unique environment. This included custom stored procedures, job orchestration via&nbsp;VisualCron, and the creation of a mini-GBAS SQL environment that mirrors production data for reporting and analytics. The result is a system that not only meets today\u2019s needs but is built to scale with&nbsp;AmeriBen\u2019s&nbsp;growth.&nbsp;As Tim says, CONNX is as robust as it is capable: \u201cOur&nbsp;DataSync&nbsp;transfer rates and process flows have run&nbsp;very&nbsp;smoothly&nbsp;every single night for&nbsp;many years.\u201d<\/p>\n\n\n\n<p>AmeriBen\u2019s data team also gained greater visibility and control over nightly operations. With CONNX\u2019s robust logging and alerting capabilities, issues are&nbsp;identified&nbsp;and resolved proactively, often before they&nbsp;impact&nbsp;business users. The solution has become a cornerstone of&nbsp;AmeriBen\u2019s&nbsp;data governance strategy.<\/p>\n\n\n\n<p>CONNX powers&nbsp;AmeriBen\u2019s&nbsp;mini-GBAS environments:&nbsp;SQL-based replicas of the adjudication system used for reporting, analytics, and downstream processing. These environments support thousands of scheduled jobs, hundreds of custom reports, and real-time dashboards via Power BI.<\/p>\n\n\n\n<p class=\"translation-block\">The system is designed for resilience<strong>.&nbsp;DataSync&nbsp;runs nightly,&nbsp;365 days&nbsp;a year, with&nbsp;near-zero&nbsp;failure<\/strong>. When issues do arise,&nbsp;they\u2019re&nbsp;typically external,&nbsp;and CONNX is often the first to detect and alert the team.&nbsp;It\u2019s&nbsp;proved to be more than just another tech implementation\u2014CONNX&nbsp;has become an invaluable part of&nbsp;AmeriBen\u2019s&nbsp;infrastructure. \u201cCONNX is the transmission that powers our claims engine,\u201d explains&nbsp;Kathan. \u201cEven if we moved to a new adjudication system, we\u2019d still need CONNX.\u201d<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-looking-ahead-nbsp\"><strong>Looking Ahead<\/strong>&nbsp;<\/h3>\n\n\n\n<p>AmeriBen&nbsp;is preparing for the next phase of its modernization journey. The company plans to&nbsp;extend the usage of CONNX&nbsp;to&nbsp;further improve replication. It will also virtualize its GBAS environment,&nbsp;eliminating&nbsp;the need for tape backups and significantly improving disaster recovery capabilities.<\/p>\n\n\n\n<p>In addition,&nbsp;AmeriBen&nbsp;intends to expand its environments to support more agile development and testing processes, creating greater flexibility for innovation. Finally, the organization will integrate with the United Data Platform (UDP), unlocking enterprise-wide analytics and paving the way for advanced insights across the business.&nbsp;<\/p>\n\n\n\n<div style=\"height:100px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>","protected":false},"excerpt":{"rendered":"<p>Meet the customer&nbsp; AmeriBen&nbsp;manages healthcare benefits for hundreds of employer groups across the United States. With millions of claims processed annually,&nbsp;AmeriBen\u2019s&nbsp;ability to deliver&nbsp;timely,&nbsp;accurate&nbsp;data to clients is [&hellip;]<\/p>","protected":false},"featured_media":1607,"template":"","product":[48],"resource-industry":[75],"resource-topic":[72],"resource-type":[12],"resource-subdirectory":[91],"class_list":["post-4266","resource","type-resource","status-publish","has-post-thumbnail","hentry","product-connx","resource-industry-insurance","resource-topic-mainframe","resource-type-customer-story","resource-subdirectory-mainframe-optimization"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Powering Operational Resilience in Healthcare Claims\u00a0 | Software AG<\/title>\n<meta name=\"description\" content=\"Explore operational resilience through AmeriBen&#039;s partnership with Software AG to enhance healthcare benefits 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