Client is a US based optical dispensing and claim management service provider, delivering the speed, efficiency and connectivity of the Internet to all participants in the eye care industry – enhancing their productivity and profitability with a single resource to serve their informational, educational and commercial needs.
The client was looking for an offshore vendor for setting up an Offshore Development Centre. It posed the following challenges:
Strict delivery timeframes required by the client
Quick turnaround time for migrating to .NET from Salesforce
Small time frame to ramp up on the new skillset i.e. extJS
Global delivery model to maintain a single code base across the world
The client management wanted to leverage the offshore services based model to build an extended team to assist in:
Product development
Support & maintenance
Enterprise services
Product development needed to be compliant with HIPAA norms
Co-ordination between multiple onsite, offsite and offshore teams
Microsoft .NET
Force.com
extJS
Offshore-based center to manage complete operations
Product Development: Development of highly complex, core areas of product using Agile methodology, comprising following modules:
Claims: This module is developed to:
Submit and track claims
Search submitted claims
View, edit and print claim forms with CMS-1500 background and without background
Generate electronic receipt of remittance advice
Products: This module is developed for eye care related products to:
Access prescriptions from different tabs like Home tab, Patient tab and Products tab
Place an order from the patient’s prescription and order history
Maintain history of patient orders, order status and orders inventory
Scheduler: This module is developed to:
Schedule patient appointments
Update, remove and edit appointments to different type slots and different resources
Request appointments on the patient portal from Facebook for new and existing patients
Send email, SMS and voice notifications about appointment update
POS: The Point of Sale (POS) module would be used to process patients after they have completed checkup or other appointments. For e.g. Optical to fill newly issued prescriptions, invoice generation and payment for today’s products and services etc.
Benefit: This module is developed to:
Cater to the benefits or loyalty aspects of the system
Manually enter eligibility and authorization information received from the clients and medical insurances via website, phone, or fax
Upload documents that contain eligibility and authorization details
View and link benefit details of specific patient appointments
Print, copy or change status of selected benefit details
Admin: This module is developed to:
Manage user roles and access permissions
Setup locations, facilities, providers, products, services, inventories, RX orders, claims, invoices, devices, referring providers, outbound messages, patient portal, revenue and commission in the system
Enterprise Services: Eternus Solutions team understands the complexity of installed products, business and environment and has delivered product customization and enhancements within the desired timelines.
Support & Maintenance: Eternus Solutions team supported all live issues faced by the customers in the existing product implementations and provided resolution to complex and critical issues within SLA time.