A prominent health insurance company found itself grappling with a critical challenge: the need to streamline and consolidate disparate healthcare platforms into a cohesive system capable of serving both individual and commercial insured customers. With time ticking away, the company urgently sought guidance, expertise, and development resources to salvage their stalled project on individual insured billing and to reinvigorate the design and development of their commercial invoicing system.
Technology
Scope
Transforming Healthcare billing
York swiftly stepped in, providing valuable guidance to the organization's internal team on individual insured customer issues while assembling a dedicated team of developers and healthcare billing experts. Harnessing the power of MuleSoft, Java, and EDI 820 for HealthRules, York meticulously designed and developed a comprehensive invoicing, billing, payment management, and invoice reconciliation system. A standout innovation was the implementation of a rule-based payment routing and process automation module, significantly enhancing payment processing efficiency while reducing manpower requirements and costs.
