Product
Team model
Our client covers in-home care services such as non-emergency medical transportation benefits which predict EHI exchange and integration with insurance companies and other TPAs.
Currently, the company has a market network platform that bridges caregivers and members according to benefit plans covered by their insurance providers. Besides, the platform offers functionality that automates HIT, logistics, utilization and quality management.
In light of the latest governmental requirements concerning data exchange security, many TPAs in the healthcare industry have set a goal to enable interoperability in their solutions.
The data regulations issued by the government have obligated healthcare service providers and TPAs to become FHIR-compliant which required the implementation of FHIR as a data exchange standard.
Prior to our collaboration, the company was connecting other TPAs by writing parts of custom code for each individual integration. With the rising number of third-party integrations and users, the platform could hardly get any update without malfunctioning. This approach has been severely limiting and slowing down the time spent on creating a profile of a new user. It also significantly decreased data exchange speed and efficiency. For instance, some clients had to wait a day or two to know if their insurance was covering services our client was providing. Simultaneously, our client was facing financial loss caused by delayed data updates.
Prior to the discovery phase, our client's primary request was to build the processes that would meet their business goals. At the same time, our client wanted Binariks team to preserve the existing business flows. In addition, our client was looking to decrease the amount of time required to integrate and share information with the third-party organizations.
Another important part of the request was related to using centralized storage to support key business processes that include data of services provided, vendors, health care information, insurance, claims and shared healthcare data information.
Binariks showed a proven track record of delivering solutions with successful implementation of the FHIR standard. Our client was satisfied with the deep understanding of healthcare medicine on the part of programmers and other tech specialists.
In light of the latest provisions issued by the government, the client was requested to adjust the solution to the HIPAA standard. Being a third-party administrator that works with sensitive data, our client saw a chance to ensure a secure data exchange flow through FHIR implementation.
Binariks rallied both discovery and implementation teams to consult, architect, and implement the new FHIR and dispatching parts.
During the discovery phase, Binariks’ team comprised of a solution architect and a business analyst approached the client with a proposition: the envisioned solution had to enable the client to adopt FHIR as centralized health data storage and build all new solutions based on the FHIR data model.
Later this would allow it to easily interoperate with third-party organizations, accept and share healthcare information using defined structure.
Binariks team conducted a deep-dive analysis of the problem and identified that it’s also vital to:
Reach HIPAA compliance through implementation of the FHIR standard
Facilitate integration with third-party systems in FHIR format
Prepare the product to larger number of services
Ensure stable product performance during increased number of rides
Implement OAuth authentication
Activate Transport Security TLS 1.2
As an architecture service provider, Binariks delivered a more secure and up-to-date digital solution without affecting business processes that are crucial to the client.
Now the client can enjoy automated claim submission and receive data in real-time which significantly reduces the potential loss of money.
The renovated architecture of the solution brought about numerous positive changes including secure and fast data hosting and exchange enabled through FHIR and AWS toolset. Binariks' team added authentication that made the registration of insurance companies on the platform faster and easier.
As a result of cooperation with Binariks, the client can now increase the number of active users regardless of the third-party provider plans. In a long run, this innovation decreases the monthly cost of product maintenance.
USA
“Binariks’ health technology expertise and their experience in building successful healthcare software solutions are their key differentiators. Additionally, they’re extremely strong in having a complete, thorough, and high-quality architecture discovery phase.”
