Claims Testing - HealthEdge

BUSINESS PROBLEM

Before claims into HealthEdge Payor system from the 3rd party system like Axiom or other claims system, a sample of claims file need to be tested so that system will work fine, file loads are compitable and so on, so that customers do not have to rollback errors later.

MY ROLE / SOLUTION

I provided the entire end to end design direction to this. I worked with VP of Professional services and key internal stakeholders and customers to make sure we are doing the testing via a UI. This UI saved a lot of time for the internal implementation engineers whose job is to make sure the systems are compatible. I also had the UI tested for usability testing.

Here a rough guide on the tool.

DOMAINS

Health care IT, Implementation Services, Custom Engineering, Systems Integration

UX

User Research, Interaction Diagramming, Prototyping, Design Reviews, Usability Testing, Material Design

TOOLS

Invision, Zeplin, Sketch

TECH

Angular Material, HTML, SCSS

MATCH TESTER TOOL

Users can upload a file from the 3rd party system and make sure it is valid. They can also download the cleaned up file if any.

project

Focus was on making sure the tool is intuitive,self-explanatory and large amount of documentation does not have to be written for it.

project

There are different views for different types of data

project

User can manager test cases on the UI

project

EDI mapping with Payor fields can be maintained on the UI as welll

project