The doctor-focused platform was built to improve the communication process between the company and healthcare providers, enabling quick payment validation and reimbursement. This platform helps the mutual assurance company enhance relationships with caretakers and improve service delivery for members.

Team Collaboration

AdvanceWorks led the development with a cross-functional team focused on integrating the platform with the company’s existing systems. Using OutSystems, the team created a secure and efficient platform for doctors and caretakers, ensuring quick processing of payment validation and reimbursements.

Goals Achieved

• Enable seamless communication between doctors and the insurance company.
• Automate payment validation and reimbursement processes.
• Improve the experience for healthcare providers and ensure quicker reimbursements.

Results

The platform has improved the efficiency of payment validation and reimbursement, reducing processing times and ensuring timely payments to healthcare providers. It also enhanced communication, fostering better relationships between the company and caretakers.

Next Steps

The next steps involve expanding the platform to support more providers and adding additional features, such as real-time tracking of claims and payment statuses, to further streamline processes.