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Development of Healthcare Financial Management Software with Automated Document Processing and Banking Integration

geniusee.com

Financial services

Medical

Insurance

Healthcare Financial Management Challenges

Private healthcare providers face significant financial discrepancies due to manual processing of insurance reimbursements, delayed reconciliation between stated procedure prices and actual deposits, and inefficient handling of electronic/paper-based Explanation of Benefits (EOB) documents. Lack of visibility into banking transactions creates operational inefficiencies and error-prone manual workflows.

About the Client

US-based Fintech startup specializing in healthcare financial dynamics between insurance companies and private healthcare providers

Key Project Goals

Automate reconciliation of insurance reimbursements with clinic deposits
Digitize and streamline EOB document processing
Implement seamless banking transaction management including physical check handling
Create centralized financial visibility dashboard for healthcare providers

Core System Capabilities

Google Document AI OCR for automated EOB data extraction
Real-time payment reconciliation engine
Multi-format document processing (electronic/paper checks)
Discrepancy detection and alert system
Centralized financial transaction dashboard
Automated check deposit workflow

Technology Stack

Python

AWS

React.js

DevOps engineering

System Integrations

Banking APIs for transaction processing
Insurance company databases
Google Document AI API
Electronic Health Record (EHR) systems

Non-Functional Requirements

High-volume document processing scalability
HIPAA-compliant data security
Real-time transaction processing performance
99.9% system availability SLA
Automated error recovery mechanisms

Expected Business Impact

Implementation of this solution will reduce financial reconciliation time by 70%, decrease processing errors by 85%, and provide healthcare providers with real-time financial visibility. Automated document handling will eliminate manual data entry while ensuring accurate insurance reimbursement tracking and faster resolution of payment discrepancies.