
We Developed a Managed Care Platform for a Fortune 500 Healthcare Company
Development & operational productivity
IT costs across the enterprise
Compatibility enterprise-wide
Flexible, loosely coupled architecture
Challenge
Complex insurance and claims data sharing between healthcare organizations was hindering patient experience, visibility, and outcomes.
PRI Solution
PRI built MuleSoft ESB solutions for enterprise workflows and external service integrations including USPS, CAQH, and NPPES.
Introduction
The complexities of sharing insurance and claims data between healthcare organizations can negatively impact the patient experience. Seamless information exchange between various entities in the healthcare industry is necessary to empower and engage patients, deliver visibility, and improve outcomes.
Objectives
- Develop ESB (Enterprise Service Bus) solutions for enterprise-wide workflows (e.g., Case Creation, Roster Analysis, Content Management) and connecting external services (e.g., USPS, CAQH, NPPES) using MuleSoft.
Results
- Faster development, increasing operational productivity
- Reduced IT costs
- Increased compatibility across the enterprise
- Flexibility and scalability
- Simplified flow of information
- Loose coupling
- Easy access to patient records and reduction of medical errors
Next Step
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