Our Product
Project Description:
Conduent is implementing new Eligibility and Enrollment determination system for state of New jersey to provide state funded health insurance program created to help qualified residents to obtain affordable health insurance. As a member of NJ family care, families are eligible for a wide range of services, unlike Medicare, NJ family care provides coverage to children, parents, single adults depending on different eligibility criteria. NJ family care eligibility is determined based on federal poverty level [FPL] of household member issued each year by department of health and human services.
Client : Best Buy
Project Name : Process Automation- Retail Digital Dashboard, Claims Management
Duration : March 2022 to May 2023
Project Description:
Claims Application is implemented to support carrier claims for lost or damaged products that are shipped to customers by gathering required data systemically with minimal to no user intervention. Automating the collection of data required for submitting a claim and use default values from available option sets for information that cannot be obtained from OMS.
Client : National Account Services Company
Project Name : Navigator -Claims
Duration : May 2016 to March 2022
Project Description:
Claims Navigator is a healthcare claims workflow and inventory management application that extends the power of core claims processing systems. Key features of Claims Navigator are, Claims Work Object Creation, Flexible Workbasket (work queue) Generation, Claim Prioritization, Skills & Rules based Routing, Claim Auto-Fetch and Display, Correspondence Generation and Management of Control and Reporting.
Client: Ministry of Health Holdings Singapore
Project Name: Common case Management System
Duration: May 2014 to May 2016
Project Description:
Fledged Common Case Management System (CCMS) for the case managers and other healthcare professionals from various public healthcare institutions (EHA, SHS, AHS, NHG etc) to facilitate the coordination of social, financial, and healthcare related services provided to the patient.
Client: GE Heath Care
Project Name: Universal Customer Master
Duration: Jan 2013 to May 2014
Project Description:
Claims Navigator is a healthcare claims workflow and inventory management application that extends the power of core claims processing systems. Key features of Claims Navigator are, Claims Work Object Creation, Flexible Workbasket (work queue) Generation, Claim Prioritization, Skills & Rules based Routing, Claim Auto-Fetch and Display, Correspondence Generation and Management of Control and Reporting.
Client: GE Energy
Project Name: Entity Manager
Duration: May 2012 to Jan 2013
Project Description:
GE Energy has gone long way to implement Entity Management (EM) system, which manages entities throughout their lifecycle and link management reporting and statutory reporting. Entity Management (EM) aims to introduce a sustainable process to ensure the integrity of entity data and simplify the understanding of the purpose of an entity and how it fits into business. The EM application is used to Create, View and Edit and Report entities. With growing vision and maturity EM is integrated with other GE Systems to leverage the process benefits in EM and of that other system. EM, which has been mostly serving as stand-alone system is integrated with other systems like GL, GOLD etc. Along with this, more user-friendly visual features are provided to display entity information.
Client: NMC
Project Name: NMC Insurance
Duration: June 2010 to May 2012
Project Description:
The main objective of the project providing OP & IP health services to the patients and verifying the health insurance maturity of the patient and patient dependents. It is mainly concentrating on the claim management for services adopted by the patient