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PRISM Overview

Optum Financial Health Benefits Accounts where we have Optum Financial is driving all platforms toward a domain driven structure with high availability in the cloud, which in turn, will reduce redundancy and ease of access to data for all platforms and organizations across Optum Technology. Currently, data resides in multiple platforms and databases throughout Optum Financial Health Benefits Accounts where we have Optum Financial. This presents the possibility of data redundancy, as well as platform specific language and descriptions, creating challenges in migration efforts as we move toward a single unified portal.

Client Domain

Client Domain would provide a single source of truth for all financial platforms and reduce this redundancy while providing a single client identifier and a consolidated location or client data.. Moving data to a cloud platform reduces the expense and maintenance of multiple databases through auto patching provided by the platform.

Person Domain

Person Domain would provide a single source of truth for all financial platforms and reduce this redundancy while providing a single person identifier and a consolidated “person record” through integration with IMDM. Moving data to a cloud platform reduces the expense and maintenance of multiple databases through auto patching provided by the platform.

Card Domain

Optum Financial Health Benefits accounts is driving all platforms toward a domain driven structure with high availability in the cloud and reducing the PCI footprint. Card Domain would allow us to maintain all PCI data within a single platform and ensure use of standard practices across all card products. This creates near real-time processing and settlement via RESTful APIs with a single card processor which enables Optum Financial to become the source of record for account balance and maintenance. The platform will integrate with card capabilities to provide the member with an enhanced experience, through, stacked card functionality, account portability, mail tracking, and digital accessibility.

Bank Domain

Optum Bank provides FDIC insured, Utah Chartered demand deposit accounts, including health savings accounts and wealth management accounts. The ‘Bank Domain’ serves as the regulated entity for record keeping, tax reporting, transaction settlement and reconciliation system for these accounts and all associated transactions. Additionally this domain facilitates all interactions with the Fed including Wire, ACH and check payments for DDAs and other businesses within UHG. The Optum Bank Platform provides various domain & application services to support core banking capabilities such as bill payment, consumer identity, account receivable, liquidity and credit and lending management capabilities.

Notional Domain

Fulfillment Domain

The Fulfillment domain is necessary to serve as a repository for member and employer letter correspondences. Given the number and content variety of letters, having a centralized location to.

Investment Domain

HSA investment options allow consumers to grow their HSA balance tax-free while they are healthy in order to prepare for future healthcare expenses. OF offers three distinct investment choices to clients and individuals to allow account holders to determine which solution is best for their investment needs. Betterment, mutual funds and self-directed brokerage account investment options provide a range of investment solutions for the novice, intermediate and expert investors. It is critical to provide product offerings made available to clients by competitors in the marketplace that have great value to the consumer and to maintain accounts once a consumer is no longer tied to an employer.

Claims/Expenses Domain

FARO Domain

Document Domain

The document domain will be developed to provide access to member and HR portal documents through a centralized file system. The new document domain will support the various document locations that exist today, consolidating access through a single location. The benefit of using this approach is that enables better management of documents through versioning/updates each year.

FINS Domain

The FINS platform will enable files to move seamlessly across domains and platforms. Data adapters will be employed to ensure client data is delivered timely and accurately. This will help realize more efficient internal processing of client data while creating a more client centric experience.

Data Analytics Domain

Data Analytics platform provides centralized, curated data, with tools to  support Data  Scientists, Business Decision Makers, Reporting and Operational Monitoring and future AI / ML opportunities. The purpose of the platform is to leverage the power of data within Optum Financial to drive growth, innovation, new product development and improve our customer’s experience.

Digital Domain

The Digital Domain is tasked with providing a uniform consumer and employer experience to our customers, regardless of their originating administrative system. Our implementation strategy is to align to the following experiences: All Optum Financial Consumers will use the OptumBank (aka CAP) platform All Optum Financial Employers will use the CYC HRC platform.

Employee Enablement Domain

Deliver best-in-class capabilities and enabling services in concert with Operations & IT, facilitating a culture of performance excellence, and ensuring an effortless customer experience. Empowering employees to provide world class service.

Invoice Domain

Today the HBA accounts are billed through multiple different systems. There is a need to collapse the billing platforms to streamline processes for internal teams which will lead to better quality and controls of the billing processes. Unifying the HBA business through PRISM and the updated billing platform (PeopleSoft) we will also be able to streamline client billing so that they're not billed through independent process/invoices based on the products they have with us, or the platforms they're on.