Pacific Blue Cross

Client Profile

Pacific Blue Cross (PBC) provides health, dental, life, disability and travel coverage for approximately 1.5 million British Columbians through employee group plans and through individual plans for those who do not have coverage with their employer.

T4Bi is delivering a “Smart Data” reporting and analytic framework for PBC customers to raise awareness and provide rich insights into opportunities to reduce their costs.

The Challenge

Identify opportunities to improve PBC fraud detection and fraud case management through the use of “Smart Data” in an integrated analysis and reporting framework.

Solution Highlights

T4Bi developed a pilot data mart for Claims Analytics, to demonstrate the feasibility of integrating data marts into the business process.

Technologies Used

MS SQL Server, SQL Server Analysis Services, Tableau, Transact SQL, MS Excel (with Analytics)

Ready to Modernize?

Modern IT systems aren’t just about compliance — they’re about enabling agility, scalability, and cost efficiency. They’re also about making the right judgment calls: preserving and evolving what makes your business unique, while integrating or
standardizing what is simply a table-stake capability.

Every year, code maintenance costs average 25% of the original build. The opportunity cost of not modernizing is even higher. The real challenge is making architectural decisions that avoid over-engineering or platform lock-in — and ensure systems remain sustainable.