Client is the single largest financial and administrative healthcare network in the United States, reaching approximately 750,000 physicians, 105,000 dentists, 60,000 pharmacies, 5,000 hospitals, 600 vendors, 450 laboratories and 1,200 government and commercial payers. The client has developed this network of payers and providers over 30 years in the industry, connecting virtually all private and government payers, claim submitting providers and pharmacies in a hybrid cloud based, user-centric and secure infrastructure environment. In 2013, the organisation was included as part of the Information Week 500 list of Top Technology Innovators in the United States.
The client wanted to modernize and consolidate legacy .NET platform to create a near 100% paperless, multi-dental provider and payer portal that is cloud ready, secure, and scalable.
The solution had to include fully automated credentialing, ERA and EFT, with provider feed and application processing, and reporting extended to dental organization hierarchy supporting DSOs.
We incorporated Agile AWS based lean methodology and developed MVP with incremental builds to validate features and revisited the following:
Incorporated reusable UI development framework and backend services
Created a common front-end web services layer
Leveraged existing tools and frameworks as accelerators: front-end services, backend services, orchestration, micro-services, and CI/CD automation
Utilized Innova’s AWS development frameworks, infrastructure as a code, application deployment, and configuration tools