Canada
Puerto Rico
USA
Belgium
France
UK
India
Client Background
The client is a healthcare technology company providing products and solutions for US health plans, providers, and hospitals.
Client Need
Our client aimed to enhance price transparency, understanding the importance of providing accessible cost information for patients, particularly during periods of price changes when details about facilities, payers, or plans are updated. Additionally, the client sought solutions like pricing analytics, denial intelligence, and charge accuracy to enhance facilities and physicians, maximizing net revenue and driving success in a competitive market.
Solution
We took a multi-faceted approach to address these challenges, including:
Developed a Price Transparency interface that offers patients clear and accessible pricing information for medical services
Enabled providers to measure Charge Accuracy through an interface that analyzes claims data to identify and correct billing errors, ensuring compliance and optimizing revenue
Provided a Pricing Analytics interface for providers to define and improve pricing strategies based on market trends, financial performance, and internal benchmarks
Empowered providers with a Denial Intelligence interface that generated comprehensive reports on claim denials and remittance activity, allowing administrators to prioritize and address denials
Realized Benefits
Our solution empowered providers to analyze their pricing strategy in the current market, identify areas for improvement, and maximize revenue.
Tools & Technologies
Java
RabbitMQ
PostgreSQL
Ext JS
Dropwizard
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