Finance

Insurance, Transportation and Language Services

Developed a centralized enterprise platform for managing transportation and language service ecosystems

Overview

TatvaSoft built a centralized web platform for a company providing transportation and language services across multiple countries. The application manages every business process in one place, handling multiple entities such as insurance companies as payors, injured workers as patients, third-party service providers, and the client's internal operations, delivering all-in-one service access to multiple businesses they serve.

Customer

A US-based enterprise solutions provider serving transportation and language service organizations through industry-specific business platforms.

United States

Challenge

Process eligibility (claim) files of different file formats (Flat file, spreadsheet, EDI) extracted from multiple Payors from BizTalk
Single interface to manage Payor, users like agents, providers and their subsequent details, services, and billing information and rules
Referral (appointment) interface to manage all details of transportation/translation service on a single platform
Dedicated queues to work on for different teams like Service, Operations, Quality, Billing
Maximum automation features to increase productivity, quality and reduce human errors in areas such as Operations and billing
Comprehensive UI and automated report generation using graphs/charts for easy data management

Insurance, Transportation and Language Services Case Study

Solution

Considering the requirements of the client, TatvaSoft’s .NET development team created a web-based solution using C# and React that supports multiple backend services and manages all internal and external processes of the client.

Enlisted are some of the desirable features provided by TatvaSoft's web app

Centralized interface to manage multiple entity information such as Payors, users, third-party providers, and their intricate details, state/county wise pricing, service number, billing cycle details, and more.
Provides BizTalk EDI solutions to download claim details from the Payor’s network, import into database, and interface to display claim details associated with Injured Worker (IW).
A single platform to manage the applintment life-cycle from creation, reconciliation to final receiving of payment from the Payor.
This interface specifically manages Transportation services like Ambulatory services, Wheelchair, Air ambulance, and Translation services like Onsite (regular, certified, legal), conference call specific details
TatvaSoft implemented a number of automation process that improved productivity and reduced human dependency

Solution Benefits

Automated mileage calculation (Google APIs) based on destination and travel time.
Automated cost-effective solution to book ride from Lyft, Uber, and other local providers.
Automated communications at different stages of the appointment using generic email templates
Different task queue interfaces dedicated to a team like intake, service, care, operations, billing etc. to work on and smart task assignment rules
Interactive voice response (IVR), dial/receive calls over browser to reduce hardware dependency and create dynamic call routing
Automated Calls/SMS/Fax using Twilio with IW for various purposes like confirmation/reschedule an appointment, talk to representatives, surveys, etc.
Interface to load emails on-screen using office 365 Graph APIs and related actions
Automated invoice generation in various formats like PDF, spreadsheet, XML, tab-based txt, etc., Auto reconciliation and Auto follow-up process
Following US health standards to generate EDI 837, 277, 999 files through BizTalk
System generated management reports to review quality, productivity, sales, services, accounting in real-time
Dedicated provider portal where they can log-in and review services assigned to them, accept pending or assigned tasks, payment check status, submit queries, etc

Expertise

Tools & Technologies

.NET
.NET core
Asp.NET MVC
JavaScript
React
Biztalk
jQuery
C#
Microsoft SQL server
Microsoft Graph API
CSS
bootstrap
Telerik controls and reports
Twilio
Lyft
Google API

Result

With TatvaSoft’s web-based Solution, the client was now able to simplify and integrate the entire inbound services, operations, billing, and sales processes on a single software solution. The client could automate the billing process, reduce manual efforts, minimize hardware and work location dependency through digitalization. Tatvasoft’s digital solution offered multiple features such as web calling which improved response time and resulted in faster resolution of customer queries.

The client will no longer have to switch back and forth between multiple software/hardware like outlook, phone systems, and the sure-shot credit goes to our cutting-edge innovative solution that brings everything on a single platform. The client’s business is now able to increase per day referral process and productivity drastically by switching to automatic call answering, automatic follow-ups, automatic ride-booking system- all done on a centralized platform.

Ready to Build Your Custom Application Solution?

Tatvasoft is a reputed CMMI level 3 software and mobile app development company. When it comes to software development companies, Tatvasoft strives to be the best.

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