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Interactive keyword/Map Sales Tool for Location based physical sales - need better name

Remedy

INDUSTRY

HEALTHCARE

Type

SAAS

Overview & Challenges

Our client operates a SaaS-based billing program designed for ease and simplicity in claim submission for Alberta medical professionals. This program allows users to quickly submit their claims to the Alberta Health Care Insurance Plan (AHCIP) using an integration called H-Link. However, due to major system changes in Alberta and the introduction of EPIC, the integration needed to be upgraded to the latest standards from Alberta Health Services (AHS).

Our Solution

We designed and developed a new integration to replace the old system. This involved analyzing the capabilities of AHS and devising a design and work plan to execute the project effectively. The integration actively monitors an SFTP server for new files containing claims, processes these in near real-time, and extracts, validates, transforms, and loads the information into the client’s database that feeds the SaaS application.
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Key Features and Benefits

SFTP Watcher for Updated Claim Files:

Implemented a system to monitor an SFTP server for new claim files, ensuring timely processing.

Automated Claims Processing:

Streamlined the process of extracting, validating, and transforming claim data, reducing manual effort and errors.

Validations and Logging:

Ensured data integrity and traceability through comprehensive validation checks and logging mechanisms.

Enhanced Security:

Improved security features to protect sensitive medical and billing information.

Seamless Transition:

Enabled the client to upgrade to the new integration without any disruption to their services.

Technologies Used

React

AHS Integration

Node

AWS

My SQL

Implementation & Results

Our team utilized modern technologies to build a robust and efficient integration tailored to the client’s needs. The solution enabled the client to seamlessly transition to the new system mandated by AHS, ensuring continuity and compliance.

Impact

Operational Efficiency:

Automated the claims processing workflow, significantly reducing the time and effort required for manual processing.

Enhanced Compliance:

Ensured compliance with the latest standards set by AHS and EPIC, keeping the client’s system up-to-date.

Improved Security:

Enhanced the security of the claims processing system, protecting sensitive data and maintaining patient confidentiality.

Seamless Upgrade:

Facilitated a smooth transition to the new integration, allowing the client to maintain uninterrupted service.

Conclusion

The project successfully upgraded the client’s claims processing integration to meet the latest standards set by AHS and EPIC, enhancing operational efficiency, compliance, and security.
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20+ years

in Software Business

10+ years

Serving Clients

top- rated business solution

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Calnetic Inc.

430 404 6th Av Sw, Calgary AB, Canada,T2P OR9 +1-844-234-6756 | info@calnetic.com

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