Managing Website Portal with Regulatory Content for
HIPAA Complince |
| The Task: |
| To develop a portal that serves as a platform in providing global information about the client. This would also serve as a medium for the providers and the employees for their respective access and interaction. |
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| The Challenges |
| To design and create an online forum that operates as HMO’s business interface. |
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| The Solution |
| Binary Spectrum designed a portal for the client. This portal provides an easy access to the client’s profile in detail. As a medium for providers / hospitals, this serves as a user friendly interactive system where they can log in and perform the following functions: |
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Check and / or request member eligibility details |
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Check claim status |
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Provide Authorization (manual approval by the HMO) and Referrals (auto approval) |
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Provide news updates (e.g. change in lab vendor, updates of HMO’s related information, etc.) |
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Present alerts |
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Manage own set of users and provide them with respective access rights |
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| As a medium for employees, they can login to manage site control, approve providers or hospitals, revise or modify any data, etc. |
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| The Result: |
| The HMO is able to showcase its entire data and records to its customers from a single application. This fruitfully provides an easy access for interaction by assigning a login id to the registered providers and hospitals. |
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CRM: |
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Managing campaigns, events, leads and enrolling Medicare members |
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Standard reports for CMS and Sponsors |
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EDI: Business to business platform for bulk transactions |
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Medical research administration for Medicare members |
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Online Analytical Processing |
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Health Reimbursement Arrangements |
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