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Member Portal & Provider Directory Modernization

freeportmetrics.com

Insurance

Health & Fitness

Business services

Challenges

Community Health Options is facing limitations with its legacy system and the need for a modern, user-friendly member portal and provider directory. Key challenges include technical limitations stemming from rapid third-party application implementation, ensuring HIPAA compliance, and managing diverse stakeholder needs and expectations.

About the Client

A nonprofit health insurance company serving individuals, families, and businesses in Maine, focused on providing high-quality healthcare solutions through online platforms.

Objectives

Redesign and develop a modern, user-friendly member portal.
Develop an enhanced provider directory with robust search and filtering capabilities.
Ensure full compliance with HIPAA regulations.
Improve website accessibility for users with disabilities.
Implement a tailored customer experience journey map.
Provide a scalable and reliable platform to support future growth.

Functional Requirements

Secure member login and profile management
Plan details and benefits information
Claims tracking and payment options
Provider search and directory
Secure messaging with healthcare providers
Appointment scheduling (future enhancement)
Digital access to health records (future enhancement)

Preferred Technologies

SQL

.NET Core 2.2

Angular 7

Umbraco CMS

Integrations Required

Third-party claims processing systems
Electronic Health Record (EHR) systems (future integration)

Non-Functional Requirements

HIPAA compliance
High availability and scalability
Robust security measures
Excellent performance and responsiveness
Accessibility (WCAG 2.1 Level AA)
Cross-browser compatibility

Expected Business Impact

The project is expected to improve member satisfaction, streamline operations, enhance compliance, and enable better healthcare outcomes. The modernized platform will also position Community Health Options for future growth and innovation in the insurance industry.