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.

Customer Need

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.

Solutions Provided

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

Benefits / Results

  •  Extendable Modern Services architecture- Provided PaaS foundation for robust, scalable, HA and white labelled applications
  •  Rapid FE and FESL- Frontend framework and libraries, FESL reusable for building newer applications and features
  •  AWS 2.0 ready, CI/CD, Automated application deployment, configuration, scale, and manageability
  •  Cloud services adaption – leveraged AWS services for better manageability, reliability, and cost effectiveness
  • Security- Web application security compliance, AWS 2.0 security compliance
  • Business growth through onboarding 90% of dental practitioners (~200K) in North America
  •  Optimized cost by 60%, through consolidation of infra and operations, and cloud migration of applications: ERA, EFT, Credentialing

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