Insurance Operator
THE PROBLEM"Plan holders faced difficulty using their medical insurance benefits within the registered clinic network, making claims processing, clinic entry, and healthcare expense management harder for employees, companies, clinics, and insurance providers."
SOLUTION OUTCOMESeamless Benefit Access
MEDICAL INSURANCE ACCESS
Employees accessed clinic benefits faster through QR entry and digital claim support.
Within 10 Sec
QR- BASED CLINIC ENTRY
Employees could complete clinic entry faster by scanning a QR code.
Improved Visibility
CLAIMS & BUDGETING
Reduced paperwork and improved expense visibility.
Challenges holding Organization back
Claims friction, verification delays, and payer-clinic coordination gaps made it difficult for plan holders to use medical benefits smoothly within the registered clinic network.
The Challenges
01Claims Processing Difficulty
Plan holders faced difficulty while processing medical insurance claims within the registered clinic network.
02Clinic Entry & Verification Delay
Clinic entry and eligibility verification were not fast enough, increasing waiting time for consultations and treatments.
03Payer Connectivity Gap
Payers were unable to create a connected community between employers and clinics for better medical benefit administration.
Challenges Impact
Claims
FRICTION
Verification
DELAYS
Visibility
GAPS
Underused Benefits - Confused plan holders file late, file incorrectly, or don’t file at all, reducing benefit usage and the value of the coverage they pay for.
Losing Plan Holders - Claims friction, verification delays, and clinic entry issues reduced the smooth benefit experience needed to support plan holder retention.
Longer Wait Times at Point of Care - Manual eligibility checks delay patients at clinics and can even postpone necessary treatment.
Upfront Cash-Flow Pressure - Slow verification forces members to pay upfront and wait for reimbursement, increasing immediate financial burden.
Manual Reconciliation & Errors - Disconnected workflows create duplicate work and disputed claims through spreadsheets, emails, and paper-based processes.
Web and Mobile QR-enabled insurance platform to streamline employee benefits usage
A QR-enabled web and mobile platform that helps employees enter clinics faster, verify eligibility, process claims, and coordinate payments with less manual effort. It also gives employers and payers clearer visibility into benefit usage, expenses, and budgeting needs.
Tech Stack
Angular
Node.js
PostgreSQL
AWS
React Native
Firebase
RabbitMQ
Solution
Connected clinical admins and employees for structured claims processing.
Enabled employees to enter clinics quickly using QR code scanning.
Helped employers and payers track usage, expenses, and budgets.
Supported population health and cost tracking for care providers.
Solution Highlights
Claims Processing Bridge
Created a shared workflow for admins and employees to manage claims more clearly.
QR Code Clinic Entry
Enabled faster clinic entry through simple QR code scanning.
Utilization Reporting
Helped employers and payers track usage, expenses, and budgets.
Digital Medical History
Reduced paperwork by storing medical history online.
Bulk In-App Notifications
Shared automated promotional updates with employees.
Population Health Visibility
Improved visibility into covered group health and medical costs.
Tech Stack
Angular
Node.js
PostgreSQL
AWS
React Native
Firebase
RabbitMQ
OUTCOMES & FEATURESImproving medical benefits access,
claims visibility, and clinic coordination
The platform helped employers, clinics, payers, and plan holders move from disconnected benefit administration to a structured medical insurance workflow.
Key Outcomes
Improved Retention
Plan holder retention increased by 20–30% with the right network composition.
Within 10 Seconds
Eligibility verification became faster, reducing clinic wait time.
Better Usage Visibility
Employers and payers could track benefit usage, expenses, and budgets clearly.
Reduced Benefit Misuse
Better structure and visibility helped reduce misuse of medical benefits.
Reduced Paperwork
Digital medical history reduced physical paperwork in claims processing.
Connected Coordination
Employers, clinics, payers, and plan holders worked through one connected workflow.
Features
QR-Based Clinic Entry
Eligibility Verification
Claims Processing
Utilization and Analytical Reports
Digital Medical History
Employer Clinic Workflow
Medical Benefits Administration
Our Engineering
Marvels
That Drive
Digital Transformation
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Health SignOn
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Emergency Assistance
Patients struggled to access timely emergency support, while providers and payers lacked visibility into active incidents, care coordination, and response tracking.
Payer Insights
Healthcare payers struggled to consolidate claims, referral, utilization, and network data, limiting visibility into plan performance, risk, and network leakage.
