FROM INCONSISTENT TO INTEGRATED

How Imagenet helped a leading Puerto Rico-based health plan serving 117,000+ Medicare Advantage members streamline benefits communications and reduce compliance risk.

THE CHALLENGE

Fragmented Materials. Growing Compliance Risk

A leading health plan in Puerto Rico—an independent licensee of the Blue Cross Blue Shield Association serving 117,000+ Medicare Advantage members—was managing more than 100 benefit plans across Medicare, Medicaid, and commercial products. Each plan had its own set of member-facing documents, like Annual Notice of Changes (ANOCs) and Evidence of Coverage (EOCs), but lacked standardization—creating inconsistencies, inefficiencies, and compliance risk.

  • Materials varied in format, structure, and quality.

  • Templates lived on individual staff computers.

  • No centralized version control or document repository.

  • Inconsistent communication across product lines.

They needed structure, oversight, and audit readiness—fast.

THE SOLUTION

Centralized, Compliant Communications

Imagenet deployed the Collateral Management Module® (CM)—Powered by CODY®—to bring structure and oversight to a fragmented process:

  • Digitized ANOCs, EOCs, SBs, and other materials into a centralized library.

  • Organized by audience, line of business, and year

  • Enabled standardized workflows for content creation, review, and approval.

  • Established audit trails and ensured version control through a secure, compliant platform.

With CM in place, the plan gained full visibility and control over all member-facing communications.

THE RESULTS & IMPACT

Audit-Ready and Operationally Aligned

With Imagenet’s solution in place, the plan realized immediate and lasting gains:

  • Standardization across 100+ plan communication documents.

  • Full version control—eliminating internal confusion and manual rework.

  • Faster, more accurate production of ANOCs and EOCs.

  • Improved CMS alignment and reduced audit risk.

What began as a compliance fix became a long-term operational advantage.

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