The Task:

To develop an application that focuses on the primary phase of maintaining the member’s database by collection of data through enquiries. These enquiries are in the form of an online predefined questionnaire which requires the members to reveal their health related information

The Challenges:

The main challenge here was to get the newcomer enrolled and part with his personal health related issues.

The Solution:

Binary Spectrum developed an application wherein two main issues were addressed:

• Call perspective: Here the customer service department uses this application as an attempt to provide healthcare by avoiding the patient to go to the provider. Attempt notes are made on the basis of first encounter with the member. The invitation package is dispatched as a first attempt and the follow up is done as a second attempt.
• Health perspective: The assessment of various possible health related questions is done to gather first hand information from the patient directly. The customer service department evaluates the survey done to access health risk. Emphasis is also given on Diabetic patients reports

The Result:

This is a compact application used extensively by our client for the purpose of maintaining primary health concerns of a new member.

look at other HMO case studies

1. CRM:
• Managing campaigns, events, leads and enrolling Medicare members
• Managing website portal with regulatory content for compliance
• Standard reports for CMS and Sponsors
2. EDI: Business to business platform for bulk transactions
3. Medical research administration for Medicare members
4. Online Analytical Processing

Well if you are interested in outsourcing software development or would like to find out more about our services and offerings, please get in touch with us. You might want to send us a mail, or simply contact us at info@binaryspectrum.com. A senior member of our customer engagement team will get in touch with you within 24 hours.