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Enterprise Application for tracking emergency calls
Healthcare Solution for Billing Integration
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Healthcare Solution for Billing Integration
 

Objective:

We are working with a medium size healthcare institution in overhauling their current IT system from the software side. The company is involved in providing managed care to a large number of customers in the north-east region.

Our side of the project involves providing solution related to billing integration with insurance companies. The project involves capturing some of the newer business processes in the software, and migrating existing application to the new platform.

Note: Some of the information in this case study is protected to respect our NDA with the customer. Our client does not want to disclose that it has used the services of an outside software development company for its developing its mission critical application. All the information shared in this document has been discussed with our customer.
 
Technical Details:

The first generation application used by our client captured 100% of the businesses in the early 90's and was written in core java with oracle as backend.

Our client bought a few solutions in Microsoft technologies in the course of last decade, and changed many of the process.

The project involved developing integration points while ensuring compliance, security and quality of the whole system. Typically, insurance companies and labs have started providing secured web services for many different kind of transactions.

We are understanding each loose end in their healthcare supply chain, and providing a .Net tool to integrate internal applications and external applications.

Our challenge is to understand the technical as well as healthcare terminologies, and provide seamless flow of data and information via our tools.
 
Our Role:

Our engagement model was onsite/offsite model. Our team comprised of project manager, account manager, architects, team leaders, developers, DB Admins, and quality engineers. We worked closely with the in-house project sponsors that consisted of project manager and an healthcare expert.

We are working as sub contractor with another multi-million dollar IT company in this large project, and providing solutions in our assigned areas.

We adopted our global delivery model by using the best combination of resources from our global pool of engineers.

 
Challenges:
  • Quality Assurance
  • Co-ordination with our client's team
  • Difficult internal processes
  • Non IT clients (typical healthcare staff)
  • Tighter Healthcare Compliance
  • Co-ordination and delivery where many different institutions are involved
 
 
 
 
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