Cloud Based Platform for Healthcare Billing and Reporting
The Client is a renowned player in offering pharmacy services. Their customers who were independent pharmacies and clinicians were struggling with bill submission for clinical services rendered in addition to the complex regulations. A bespoke solution would simplify the billing process and create new revenue streams.
Data Management & Governance, Architecture & Design, Business Intelligence
How did we do it?
- Prototyped and developed user-interface for cloud-based platform.
- Developed data architecture and web services for interacting with UI.
- Integrated with third-party APIs for seamless claims submissions and eligibility checks.
- Developed insight reports for visualizing claims & billing analytics.
End-to-End Mediclaim Processing Automation Platform on Cloud
Pharmacy using the platform submits a claim to the Clearing House
Clearing House does Data Validation and forwards it to the Insurance Company for review
The Insurance Company approves the claim
Eligibility Checks | Patient Records | HIPAA Form | Diagnosis Coding | CPT Coding Accounts Receivables | Customizable Links
Time & Cost
- Reduced time taken for medical billing.
- Data quality management resulting in nearly no rejections.
- Low-cost, high-efficiency solution for smallscale and independent healthcare providers.
- Maximize patient facing time by reducing time spent by practitioners on paperwork.
- Real-time update of patient and provider information.
- Easy access via laptop and mobile devices.
New Revenue Streams
- Wellness Checks.
- Health Screens.
- Consults- MTM.
- Skin Disorders.
- Minor Illness.
- Minor Injuries.