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Healthcare Financial, Insurance, and Billing Platforms - Cases Medical

Tags in this Industry

Accessibility and Assistive Technology ApplicationsClinical Trial and Research PlatformsDiagnostic and Medical Imaging SoftwareEducational and Training Platforms for HealthcareElectronic Health Record and Personal Health Record SystemsHealthcare Data Management, Analytics, and AI PlatformsHealthcare Financial, Insurance, and Billing PlatformsHealthcare Marketplace, Directory, and Booking SystemsHealthcare Operations and Workflow Management SystemsMedical Device Software and IoT Integration PlatformsMental Health and Wellbeing PlatformsPatient Engagement and Management ApplicationsPharmaceutical and Biotechnology SolutionsSpecialized Healthcare Platforms and ApplicationsTelehealth and Remote Monitoring Platforms
  1. Industries
  2. Medical
  3. Healthcare Financial, Insurance, and Billing Platforms

Healthcare Financial, Insurance, and Billing Platforms

Development of a Cloud-Based Medical Coding and Claims Processing System

Medical

Build a comprehensive system allowing medical coders to review clinical statements, assign codes, analyze alternative diagnoses, and manage claims with automation features. Integrate validation, reference resources, and detailed reporting capabilities.

Cloud platform with HIPAA compliance (e.g., Microsoft Azure or equivalent)., Web API for integration and communication between modules., Responsive UI components embedded into existing electronic healthcare record systems....
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Healthcare Financial Data Reconciliation and Document Automation System

Medical

A secure, scalable platform that automates document data extraction, manages financial reconciliation, and streamlines banking transactions, with real-time visibility tools.

Python for backend development, AWS cloud infrastructure for deployment and scalability, React.js for user interface components...
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Development of a Mobile and Web Medical Billing Tracking and Cost Reduction Platform

Medical

Develop a comprehensive platform allowing users to create accounts, capture images of medical bills, upload bills for review, and view savings analysis, supported by backend processing and help desk integration.

Mobile development frameworks: Swift for iOS, Java for Android., Backend development: Python or equivalent language for middleware., Cloud storage solutions for images and data security.
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Development of a Scalable Web Application for Cost Comparison of Pharmacy Benefit Management Proposals

Medical

The platform shall allow users to upload datasets, perform high-accuracy, multithreaded calculations, and generate comparison reports. It must support integration with external databases and ensure real-time data consistency.

Microservices architecture for scalability and modularity, Cloud platform deployment with Azure or equivalent, Backend developed with .NET Core for robustness and performance...
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Development of an Integrated Revenue Cycle Management System for Healthcare Providers

Medical

A modular system supporting end-to-end revenue cycle management including patient data management, claim processing, payment reconciliation, and denial handling. The system should facilitate secure data operations, multi-channel claim submission, and detailed reporting.

TypeScript, JavaScript, HTML for front-end development, SQL and MS SQL Server for relational database management, ASP.NET MVC, .NET Core for backend services...
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Development of an Advanced Voluntary Health Insurance Platform with AI-Driven Quoting and Real-Time HR Analytics

Medical

The system must integrate medical insurance management with advanced medtech functionalities, including AI-based risk assessment, dynamic quoting, and real-time analytics, within a modular and scalable architecture.

Hybrid monolithic and microservices architecture, Machine learning frameworks for risk assessment (e.g., TensorFlow, Scikit-learn), API-driven integrations...
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Scalable Microservices and Digital Communication Enhancement for Healthcare Insurance Provider

Medical

The system must support scalable microservices architecture, offer comprehensive APIs for data integration, enable automated and personalized digital communication channels, provide an overhaul of customer management dashboards, and facilitate internal support workflows and user management.

.NET, Java, Azure DevOps...
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Comprehensive Electronic Claims Processing System for Healthcare Insurance

Medical

Design and develop a comprehensive eclaims platform comprising portals and APIs for healthcare providers, claim submission, validation, fraud detection, and monitoring, supported by configurable business rules.

Web-enabled, browser-based platform, Robust backend with a scalable, rule-based engine (e.g., .NET or equivalent), Secure APIs for automated claim uploads...
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Automated Cloud-Based Data Aggregation and Billing System for Medical Device Usage

Medical

Design and implement a web-based platform that collects, filters, and matches activity logs from medical devices, supporting remote device registration, verification, and data synchronization to streamline billing processes.

ASP.NET Core for backend development, MS SQL Server for data storage, Azure Cloud Services for deployment and scaling...
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Development of a Secure Web Platform for Healthcare Bill Management and Consumer Advocacy

Medical

A comprehensive web application enabling users to submit medical bills, participate in negotiations, and communicate securely with healthcare advocates and billing experts, supporting tiered subscriptions and mobile responsiveness.

Angular for frontend development, AWS cloud infrastructure for scalable and secure deployment, Heroku or similar PaaS for app hosting and management...
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