US-Based Health Care Company
A leading US Based Health care company delivers a broad portfolio of integrated health care plans and related services. Claims are one of the critical processes where data from large number of data sources are processed on a daily basis. This case study provides an overview of the solutions to ensure all claims are processed un-interrupted.
Meeting the contemporary business requirements required reinventing the enterprise's application portfolio. There were are a few hurdles in this process to streamline and organize the workflow.
Unplanned DB restarts leading to considerable cutdown on segment loading.
Issues with data loading leading to interventions in the identification of pending and finalized claims data.
Developing with agility and speed, along with utilization and implementation of futuristic technologies helped us offer customized solutions for our renowned client.
Analysis of unsuccessful segments and performance of appropriate steps like data insertion, data balancing, and data deletion.
Identify the unsuccessful loaded segments at various steps namely auditing, loading, balancing and finally updating the load status.
Review of with SMEs to validate the data summary and balances.
Our Teams functioning across the end-to-end portfolios of Data engineering and Application Development and Management Services.
Claims comprise professional, institutional, and pharmacy claim types and our team holds domain expertise to help in the reviewing of the entire life cycle of a claim.
Our teams work round-the-clock and approximately 40+ source files are synced across our client-enterprises.
Our scope comprises US - North Eastern state health claims processing. These are projected to be approximately 100+ million claims annually.
Corporate Headquarters
Tetrasoft Inc.
16100, Swingley Ridge Rd,
Chesterfield, MO, 63017.
Tetrasoft India Pvt. Ltd.
Plot Number - 6, Sector - III, HUDA Techno Enclave,
Hitech City Rd, Hyderabad, Telangana - 500081.
+1 (877) 7225583 (US)
+91 (040) 67551555 (IN)
