Claimsure Sláinte

Transforming Health Insurance Claims with Iguana

In Ireland's healthcare finance ecosystem, Claimsure Sláinte has become a market-defining presence – processing over €2.5 billion in health insurance claims annually, representing 95–98% of all national claim traffic. At the core of this mission-critical operation is Iguana: the integration engine enabling seamless, reliable communication between Ireland's hospitals and insurers.

Claimsure provides revenue management and integration solutions to every public hospital and more than half of the private hospitals in the country. Their platform manages the full lifecycle of health insurance claims – from initial generation and electronic submission to reconciliation and reimbursement.

(Note: Claimsure is part of Clanwilliam, a leading healthcare technology and services group, following its acquisition from Sláinte Healthcare.)

Before adopting a unified integration approach, hospitals struggled with:

• Disconnected workflows and manual claims submission
• Slow or lost reimbursements
• High administrative overhead
• Fragmented systems with incompatible standards and protocols

Creating a Nationwide Integration Network

To address these challenges, Claimsure turned to Iguana in 2015 as the foundation of a new national integration strategy. The result: a distributed network of Iguana-powered pipelines supporting secure, high-throughput communication between hospital systems and insurance platforms.

Iguana now powers:

• Real-time data exchange across hundreds of hospital systems
• High-volume message routing with built-in reliability and traceability
• Scalable infrastructure supporting millions of messages during peak cycles
• Seamless claim delivery with minimized downtime and operational delays

With Iguana at the core of their infrastructure, Claimsure has:

• Increased claims efficiency, reducing processing time for submissions and responses
• Improved operational scalability, enabling consistent performance under national demand
• Lowered costs, thanks to automation and streamlined reconciliation workflows
• Enhanced compliance, through better alignment with healthcare regulations and standards

Expanding Integration Beyond Claims

Having transformed claims delivery nationwide, Claimsure is now laying the groundwork for broader data integration initiatives – connecting not just financial systems, but clinical and diagnostic ones as well. Iguana provides the flexible architecture needed to support these next-generation interoperability goals, from lab integrations to population health platforms.

Why Claimsure Chose Iguana

• Flexibility across legacy and modern systems
• High-performance messaging at national scale
• Built-in resilience and business continuity
• A collaborative partner relationship that supports long-term strategy

Claimsure's journey shows what’s possible when integration becomes infrastructure. With Iguana, they've created a national backbone for claims processing – one that’s not only scalable and secure, but poised to drive the next chapter of healthcare interoperability in Ireland.