VGZ is a nonprofit health insurer, playing an active role in organizing smarter healthcare in the Netherlands. With more than 4.1 million policyholders and 187 million claims processed each year, it is the second-largest healthcare organization in the country. Its goals include providing affordable healthcare that is based on qualitative medical services, excellent customer service, and superior operational efficiency.
VGZ wanted to consolidate three of its management applications—acquired through the merger of three organizations—into a single health-insurance-specific platform to enable the company to respond rapidly to frequent and complex changes in Dutch healthcare insurance laws. In addition, it wanted to improve customer service by offering self-service functionality, and to cut IT costs for management and support, as well as gain an advantage in a highly competitive sector.
The company’s deployment of Oracle Health Insurance Back Office improved the company’s ability to support its customer service, internet sales, provider contracts, policy administration, claims processing, pre-authorizations, and billing functions. With the solution, VGZ reduced operational costs by 30%, thanks to straight-through processing of claims to achieve a yearly savings of US$10 million in IT expenses and US$24 million in operational costs for claims.