Mobile Billing App for Healthcare Provider
Background
Customer Request
Challenges & Solutions
Challenges
The long procedure of medical specialists check
Doctors had to enter their practice card number and wait for accreditation and license verification through the Ministry of Health, a time-consuming process that led to user drop-off.
Outdated information on system billing codes
Billing confirmation and payment by the health insurance center require correctly coded requests. With constant database changes, manual code updates are time-consuming, and errors could freeze Insurance Program compensations.
Differences in the legislative framework for different provinces
Variations in code selection, billing, documentation, and payment requests across Canadian regions complicate the system, causing errors in insurance and patient payments.
The difficulty of patient data entering
Patient acceptance, referrals, diagnoses, and payments for services reimbursed by the health care program required identification of each user. An instant data was needed to assess the validity of each patient's Personal Health Number..
Solutions
Synchronization of the billing system with the bases of the Ministry of Health
The synchronization system for OHIP, MSP, and AHCIP databases sped up doctor identification, considering current permits for medical practice. It reduced registration time and allowed doctors to issue invoices promptly.
Parsing code databases of health insurance plan
To regularly update Medina service codes, specialists developed a database parsing algorithm. This ensured constant code updates, reducing billing errors and maximizing payments for medical practitioners' requests.
Development of algorithms for processing requests based on regional criteria
FTL engineers and specialists created an algorithm meeting MSP, OHIP, and AHCIP rules, standardizing coding, documentation, and payments to prevent duplication and errors across provinces.
System integration with health service servers
Integrating algorithms with patient databases enabled quick access to PHN coverage and medical history, streamlining billing and insurance processing.
project facts
main features
Cross-analysis system
A cross-analysis system was created to simplify the process of making individual medical reports for each doctor. It allows you to assess which billing codes were most often billed, how many patients were the doctor had during the reporting period, and how much was billed. It helps in the formation of the declarations of each doctor and provides full control over the settlement documentation
Scanning the patient's personal health card
A system for scanning individual patient records was introduced to simplify the patient search process and speed up the billing procedure. It made it possible to increase the control and security of personal data processing and minimize the risk of using someone else's PHN when visiting a doctor.
Technologies used
