Case Study
Claims Repricing Workflow Development and Enhancement
Client Requirements Client provides cost management solutions to healthcare payers and providers. Client needed to enhance its claims repricing platform, that ensures flexibility in adjudicating and paying claims, enabling providers to receive correct and timely payments. Client partnered with CitiusTech to enhance its internal technology development, management and support capabilities on agile development initiatives for claims repricing. Other key requirements included claims bundling, claims editing, fax automation, and security enhancements to existing applications. CitiusTech Solution Requirement Analysis The solution was required to automate current document workflow using third party components which were compatible with the existing architecture of the claims