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HIPPA Compliant Pharmacy Benefits Manager Implementation for Hospices

HIPPA Compliant Pharmacy Benefits Manager Implementation for Hospices

Tech Stack

  • .Net core
    .Net core
  • Angular
    Angular
  • Azure cloud
    Azure cloud
  • Microsoft SQL Server
    Microsoft SQL Server

About Client

Based in USA, the client is a well-recognized name in the clinical healthcare industry. They operate one of the largest hospices in the region. In recent years, their prime focus has shifted towards managing costs and optimizing the clinical decision-making process. Thus, they approached Brainvire to hire .Net Core developers to implement a revolutionary Pharmacy Benefits Manager (PBM).

About Product

The PBM is specifically designed to handle the clinical and financial challenges of hospices. The patient-centric digital platform with Azure IaaS deployment offers extensive claims processing support and manages different types of medical therapies. Hospices can keep track of all health records in an electronic format and the data encryption is HIPAA-compliant. The solution also provides assistance in determining medication relatedness and recommends medical formulations accordingly. In a nutshell, it is a life-saver for patients and helps hospices to deliver the best customer care at the most reasonable prices.

Product Banner
before

The Challenges

before-ring
Claims Processing Support

Workflow had to be developed and managed so that all claims can be processed in a hassle-free way.

Claims Processing Support
The team implemented a systematic workflow that governs data capture, settlement creation, authorization, and approval processes. It also features a comprehensive range of features including payer management, electronic claims tracking and submission, electronic remittances, automatic charge capture, clean claim checks, and electronic payment posting.

Solution

The Challenges

Claims Processing Support
Workflow had to be developed and managed so that all claims can be processed in a hassle-free way.

The team implemented a systematic workflow that governs data capture, settlement creation, authorization, and approval processes. It also features a comprehensive range of features including payer management, electronic claims tracking and submission, electronic remittances, automatic charge capture, clean claim checks, and electronic payment posting.

Claims Processing Support

Result

  • 100% Accurate E-prescriptions

    All errors related to doctors’ illegible handwriting were eliminated by the e-prescriptions with .Netcore based healthcare application development.

  • Scalable Digital Platform

    The solution can be scaled up in the future to accommodate massive volumes of data and additional frameworks.

  • Drug Management

    Patients can get timely updates about dosage consumption based on a pre-defined schedule helping doctor to monitor the dosage impacts.

  • Seamless Tracking and Monitoring of Health Status

    The platform’s advanced algorithms track and monitor the health of patients in real-time based on their medical history

Product Screens

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Client Testimonials

John Ransom
They're trustworthy and dependable. Because of the team's consistent and reliable honesty, the client is able to trust in their growing relationship with them. I appreciate their responsiveness the most.
John Ransom
Manager - Avacare
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