Medical-Insurance-Claim-Application

Client

A US based healthcare organization

 

Challenges

In the US healthcare system, it’s important to submit diagnosis codes (ICD) and procedural codes (CPT) along with claims to an Insurance company (payer). This is a regular and repetitive task to be conducted for every patient visit. This application was developed to ease out the submission of claims to payers, especially after surgery.

Earlier a physical form was filled up by the concerned surgeon after the procedure to mention all the diagnoses and procedures, the same used to be computerized by the staff. This application on the handy Tab enabled the surgeon to simply tick in a predefined matrix and just complete the work within a few clicks. The application also helped in timely submission, providing correct information, reducing intermediate-level data entry efforts, and reducing manual errors.

Solutions

Application i-QuickClaim to run on iPad was developed to ease out Provider’s work and generate the output in a submittable format to the payer and included the following features.

  • Interfaced with advanced MD systems.
  • Integrates with hospital back office and billing system.
  • Manage patient claims in real time.
  • Manage patients & appointments.
  • Enter CPT / ICD codes for appointment.
  • App license management.
  • Create claim forms for diagnosis & procedures.

Features

  • Easy predefined matrix to submit a claim within a few clicks.
  • License-based Provider’s login.
  • Facility Selection.
  • View/manage appointments.
  • Search patients.
  • Diagnosis code selection.
  • Procedure code selection.
  • Mapping between ICD & CPT as well as CPT modifiers codes.
  • Creating Patients details.
  • A provider can belong to multiple practices.
  • Claim form generation using a selected practice.
  • Patient history can be viewed with various reporting options.
  • Integration with WebMD for a list of ICD codes, and CPT codes.
  • Mapping of patient ID, and SSN number while claim submission to payer.

Benefits

  • Available on license-based subscription.
  • Reduces manual efforts of claims submission.
  • The systematic approach reduces time involvement.
  • Ease of patient search.
  • View/Manage daily appointments

Tech stack

  • Objective-C – iOS
  • AdvancedMD SOAP API Integration
  • Custom License Management using PHP
  • Highcharts

About Emorphis

Emorphis Technologies is a world-class software development and solutions company that truly believes in “Innovation in motion”. Delivery innovation on the go at an accelerated pace has been our success mantra to date. Over the years we have provided value to our clients in the field of enterprise mobility, cloud, IoT, backend development, Big Data Analytics, and Blockchain.

We serve industries ranging from unicorns, and startups to large multinationals in the healthcare, telecommunications, fintech, retail, and publishing industry. Our go-to-market software products – iStatement, iPublisher, and iBuggy have proved our metal with positive beneficial customer testimonials. We help our clients with successful product development, consulting services, and testing (manual & automated).

We have profound experience & expertise in various technologies like .Net, J2EE, PHP, iOS, Android, and Cloud Computing viz. Amazon Web services (AWS), Software QA & testing (Manual & Automation). Our designed products are cloud-ready and can be readily deployed on AWS/Azure cloud infrastructure.

Our pivot on engineering innovation and R&D helps quicken time-to-market, ensuring high quality at economies of scale, delivering cult competency for the global marketplace. We ensure that your ideas, concepts, and requirements are backed by brilliant execution at our end. Having said that we extend end-to-end ownership of product/application design, development, and deployment.

Contact us

(USA)
+1 408 409 7548
+1 408 409 2024

(India)
+91 731 408 9351

sales@emorphis.com
www.emorphis.com

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