The healthcare industry moves fast, but many payer organizations are still stuck with systems from the early 2000s. Whether you're a third-party administrator (TPA), a health plan, or a self-funded employer group, you’ve likely encountered the growing limitations of your legacy claims adjudication platform.

Slow benefit rollouts, long coding cycles, and rising maintenance costs are common issues. You may also be feeling the pressure of staying compliant with evolving mandates like CMS interoperability rules, HIPAA, and the No Surprises Act. On top of that, members and providers now expect digital-first, real-time experiences. Most legacy platforms simply cannot deliver that.

These systems aren’t just outdated. They’re becoming liabilities. The question is not whether to modernize, but how soon.

This is where Javelina^® becomes relevant. It’s not just a new tool. It’s a cloud-native, API-first platform designed specifically for today’s payer operations and built for the future.

Replacing Outdated Claims Infrastructure with Future-Ready Architecture

Traditional claims systems were built in an era when speed, agility, and interoperability weren’t essential. They rely on custom code and manual work, with long cycles even for minor updates.

Javelina^® helps organizations move away from this burden. Its low-code, user-friendly interface empowers plan administrators to configure benefits quickly, with minimal IT involvement. This means faster launches, fewer delays, and a more responsive system overall.

By shifting to a cloud-native model, organizations also gain scalability and flexibility. This isn’t just an upgrade. It redefines how claims infrastructure supports modern needs.

Powering Real-Time Engagement and Personalization

Modern consumers expect seamless digital experiences, especially in healthcare. Members and providers want real-time access and fewer delays.

Javelina^® meets this demand through intuitive, mobile-friendly portals tailored for members, providers, and employers. Members can track claim status, view live Explanation of Benefits (EOBs), and check eligibility independently. Providers can verify payments and coordinate benefits with fewer administrative hurdles.

It improves engagement, builds trust, and reduces customer service overhead. Users feel more in control, and operations become more efficient.

Driving Compliance and Operational Agility

Keeping up with changing regulations is a constant challenge. Each new mandate brings new requirements that legacy systems often struggle to support.

Javelina^® is built for change. Its prebuilt APIs and integration frameworks support healthcare data standards like HL7, FHIR, and X12. This makes it easier to exchange data with EHRs, pharmacy benefit managers, provider networks, and clearinghouses.

Real-time dashboards track SLAs, audit trails, and financial metrics. These give teams transparency and the ability to act quickly. When regulations shift, Javelina’s modular design allows updates without disrupting the broader system. Agility is built in.

Enhancing Claims Accuracy with Configurable Rules and Industry Standards

At the heart of Javelina^® is a powerful, flexible business rules engine. It supports real-time edits, pricing, payments, and major coding systems like ICD-10, CPT, NDC, and HCPCS.

This ensures claims are processed with precision and speed. More importantly, it handles complex plan designs with dynamic copays, multi-benefit coordination, or pricing overrides. These are common pain points in legacy platforms.

Rather than forcing organizations to adapt to system limitations, Javelina^® reflects the real-world complexity of payer operations.

Supporting Multiple Business Models with Flexible Deployment

With diverse structures, one-size-fits-all deployments no longer work.

Javelina^® offers three deployment models: Software as a Service (SaaS), Private Cloud, and Business Process as a Service (BPaaS). This allows organizations to align platform delivery with internal IT and compliance needs.

If tighter control is required, Private Cloud fits best. For fast, scalable rollout, SaaS is ideal. For full outsourcing, BPaaS is a comprehensive option.

Whatever the path, Javelina^® ensures technology never becomes a barrier to strategy.

Unlocking End-to-End Visibility Across Operations

In a fast-moving space, teams need visibility at every claims stage to act quickly. Javelina® provides integrated dashboards with detailed insights into claims status, turnaround times, SLA tracking, and more. These dashboards support not just executives but also frontline staff solving real-time issues.

From claim delays to audits, insights are clear, current, and actionable.

Sustaining Innovation Through Agile Upgrades

Legacy platforms are often delayed by their own upgrade cycles. Features come in big releases that require downtime and retraining.

Javelina^® takes a different approach. Its architecture supports continuous, modular upgrades. Whether it’s a new compliance feature, UX enhancement, or analytics update, changes can be adopted at your pace.

Incremental updates keep systems current and reduce upgrade risks and costs. Innovation becomes seamless.

Migrating Without the Mayhem

Even with a clear case, fear of disruption can delay modernization. Migration can feel risky, especially with core operations at stake.

That’s why Mphasis created LaunchSure^™, a structured migration approach that puts control and clarity at the center. It starts with discovery, mapping workflows, data dependencies, and compliance needs. Data is then cleansed and mapped to Javelina^®'s framework.

Before cutover, Javelina^® runs in parallel with the legacy system. Teams validate benefit parity and audit readiness before the final switch. This ensures a smoother, lower-risk transition.

Achieving Tangible Results That Matter

A platform’s true value lies in its outcomes.

One national TPA serving over 100,000 members migrated to Javelina^® and began seeing results within months. Auto-adjudication rose 35 percent. Portal usage doubled in 90 days. New benefit configuration time was cut dramatically.

These aren’t minor improvements. They are measurable outcomes that elevate operations and member experience.

Leading the Way in Claims Modernization

Legacy systems weren’t built for real-time engagement, personalized care, or constant regulatory change.

Javelina^® is.

It delivers the intelligence, flexibility, and scalability needed to modernize claims operations.

It enables better decisions, faster service, and more transparent experiences.

It’s not just about replacing the old. It’s about building better.

Modernize with confidence. Modernize with Javelina^®.