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Enhancement of Healthcare Credentialing System for Scalability, Security, and Performance
  1. case
  2. Enhancement of Healthcare Credentialing System for Scalability, Security, and Performance

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Enhancement of Healthcare Credentialing System for Scalability, Security, and Performance

capitalnumbers.com
Healthcare
Information technology

Current System Limitations

The existing credentialing system faces critical challenges, including delayed insurance payments due to slow claims processing, sluggish data retrieval during peak traffic, inability to handle large document uploads (e.g., licenses, certifications), and security vulnerabilities from outdated protocols (TLS 1.0/1.1) and insufficient authentication measures. These issues risk compliance failures, user dissatisfaction, and potential data breaches.

About the Client

A platform enabling healthcare practitioners to submit and verify credentials, ensuring compliance and authenticity for institutions like hospitals, clinics, and insurance providers.

Key Project Goals

  • Enable seamless handling of high-volume credentialing data and traffic surges
  • Accelerate claims processing and reimbursement workflows
  • Enhance system security through modern encryption and authentication protocols
  • Improve document upload capabilities for large files
  • Ensure fault tolerance and self-healing during downtimes

Core System Functionalities

  • Optimized APIs for rapid data retrieval and processing
  • Support for 25MB+ document uploads (licenses, certifications, etc.)
  • Load-balanced infrastructure for high-capacity workloads
  • Auto-scaling capabilities via Amazon EKS and Horizontal Pod Autoscaler
  • Secure user authentication via Keycloak reverse proxy
  • Centralized credential storage with compliance tracking
  • Automated log cleanup and monitoring via CloudWatch

Technology Stack

Java
Angular
Amazon EKS
Docker
Cloudflare
TLS 1.2
CloudWatch
Jenkins
AWS RDS

External System Integrations

  • Keycloak for identity management
  • Cloudflare for CDN and DDoS protection
  • Jenkins for CI/CD automation
  • AWS RDS for database scalability

Non-Functional Requirements

  • Support TLS 1.2+ encryption exclusively
  • Implement HTTP header security configurations
  • Prevent user enumeration attacks
  • Ensure 99.9% system uptime with fallback mechanisms
  • Distribute traffic evenly using granular load balancers
  • Enable global access via distributed architecture

Expected Business Impact

The upgraded system will reduce claims processing time by 50%, eliminate document upload restrictions, and fortify security against modern threats. Practitioners gain a reliable platform for credential submission, while compliance teams benefit from centralized, real-time data access. Enhanced scalability ensures uninterrupted service during traffic spikes, improving trust among healthcare providers and insurers.

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