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Oracle Health Insurance Solutions

Simplifying your innovation journey and connecting the lives of the members you serve.

Why Oracle Health Insurance Technology?

Oracle wants to partner with you to help accelerate your health insurance innovation journey. We offer an end-to-end core administration platform for small and large health plans to modernize their systems at scale, introduce new products quickly, grow enrollments, and increase market share. The Oracle Health Insurance Platform offers componentized and transparent applications for a better member experience.

HLTH Webinars: Simplifying Healthcare Through innovation

Anthem and Horizon

Anthem and Horizon: Navigating through the Data Interoperability Challenge

This year will create a greater data challenge for health insurers and providers due to the implementation of the 21st Century Cures Act and the FHIR Data Interoperability standards.

Watch Rajeev Ronanki, Chief Digital Officer at Anthem and Vijay Venkatesan, Chief Analytics Officer at Horizon BSBSNJ to learn more about best practices for healthcare delivery and ways to give patients greater visibility into their care journey.

Anthem and Clover Health discuss the Future of Healthcare Billing

Anthem and Clover Health discuss the Future of Healthcare Billing

In this on-demand webcast, practitioners from Anthem and Clover Health share valuable insights on how to go digital, work more closely with government plans, and simplify healthcare billing.

Humana: How a Cloud First Strategy facilitates Claims Adjudication

Humana: How a Cloud First Strategy facilitates Claims Adjudication

Watch this HLTH on-demand webinar with Mike Wheatley, AVP of IT at Humana and Srini Venkat, VP of Insurance Products at Oracle to discover how Humana is successfully approaching a cloud first corporate strategy for modernizing claims processing and adjudication.

Gain insights on how to modernize systems at scale, introduce new products quickly, and grow enrollments with Oracle’s Health Insurance Webinar Series.

Why Medicare Advantage Plans Need to Double Down on Modernization

Understand how Oracle Health Insurance can help you drive efficient operations and enhance the customer experience in a move toward modernization.

Why Medicare Advantage Plans Need to Double Down on Modernization

Modernizing Claims Processing and Adjudication for Health Insurers

When it comes to claims management, few areas of the healthcare lifecycle deliver greater opportunity and risk. Learn why claims management and adjudication are ripe for health insurance innovation.

Modernizing Claims Processing and Adjudication

Simplifying Health Insurance Innovation

Health Insurance technology is essential to keep pace with the rapidly transforming industry. Discover how the Oracle Health Insurance Cloud Services offer rich functionality and flexibility for operational efficiency, an easy to manage health insurance platform for growth and scalability and transparent member engagements.

Simplifying Cloud Innovation

IDC Research: Trends in Digital Transformation and Member Engagements for Health Insurers

Oracle is integrating comprehensive core administration processing and personalized proactive member health engagement in an ecosystem with partners such as dacadoo. The Oracle Health Insurance Platform uses a core administration engine and mobile health insurance technology in a cloud-based, closed-loop architecture to modernize operations, predictable risk, preventive health, and increased member engagement.

Customer Innovation Stories: Oracle Health Insurance empowers customers to pursue innovation, capture opportunities, and focus on the future by modernizing their operations from the front to the back office.

Customer Success Stories

Harvard logo

Harvard Pilgrim HealthCare Increased Auto Adjudication Rate to 92 Percent and Reduced Claims Cost


Harvard Pilgrim HealthCare

In our new environment with Oracle, we're achieving 90-92 percent auto-adjudication. That means we don't need humans to touch those claims and means those claims are processed more accurately.
Deborah Norton, CIO and SVP of IT and Operations, Harvard Pilgrim HealthCare
Humana logo

Humana discusses the advantages of implementing a modularized claims solution using Oracle Health Insurance



In the marketplace that was the only solution that allowed us to implement a claims solution without having to implement a totally integrated solution.
Mike Wheatley, Associate Vice President, Humana
Defence Health logo

Defence Health leverages the flexibility of Oracle Health Insurance to bring products to market more quickly


Defence Health

Oracle was rated very highly for its modularization, configuration and flexibility.
Joanne Kadlecik, COO, Defence Health Limited
Liberty Health logo

Liberty Health Future-Proofs its Organization with Oracle Health Insurance


Liberty Health

We keep on reinvesting in Oracle because of the successes we’ve had in the past.
Christo Groenewald Divisional Director, Health Business Enablement, Liberty Health
Oracle Health Insurance Innovation Products

Flexible. Scalable. Transparent.

  • Flexibility to manage business rules for different lines of business on a single core administration platform
  • Scalable for small and large health to create products quickly, grow enrollments, and increase market share
  • Transparent for claim adjudications and claims processing for a better member experience
  • All on the cloud that is secure and affordable

Health Insurance Blogs