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HCA Claims Analysis

Product Statement

Retrieving Claims payment details from HCP API based on Claims Datasheet can be a time-consuming and challenging process. This can lead to delays in processing claims and potential errors.

Solution

To address this problem, a repo has been created for retrieving Claims payment details from HCP API based on Claims Datasheet. This solution streamlines the process of retrieving Claims payment details, reducing delays and potential errors. The repo provides a simple and easy-to-use interface for retrieving Claims payment details, enabling users to access the information quickly and efficiently they need. By utilizing this solution, users can optimize their claims processing and improve their operational efficiency.

Product Values

  • Efficiency: The solution improves efficiency by streamlining the process of retrieving Claims payment details, reducing delays and potential errors.
  • Accuracy: The solution reduces the risk of errors by providing a simple and easy-to-use interface for accessing Claims payment details.
  • Time-saving: The solution saves time by reducing the time required to retrieve Claims payment details, enabling users to process claims more quickly.
  • User-friendly: The repo provides a user-friendly interface for accessing Claims payment details, making it easy for users to navigate and retrieve the information they need.
  • Improved operational efficiency: By optimizing the claims processing and reducing delays, the solution improves overall operational efficiency.

Key Metrics

  • Retrieval time: This measures the time it takes to retrieve Claims payment details, helping to identify areas for improvement.
  • Error rate: This measures the error rate in claims processing, ensuring that the solution reduces errors and improves operational efficiency.
  • User satisfaction: This measures the satisfaction level of users with the repo, ensuring that the product meets user needs and provides value.
  • Claims processing time: This measures the time required to process claims, helping to identify areas for improvement and optimize claims processing.
  • Resource utilization: This measures the efficient utilization of resources, ensuring that the solution is cost-effective.

Team

Lalitha SinghRussel LawrencePavan Kumar TJonathan MitchellKiran ChowdharyPriyanshu Mittal
Sr Dir Software Engineer Distinguished Engineer, TLCPSr Manager Data ScienceArchitect AnalystPrincipal EngineerSoftware Engineer
lalitha_singh@optum.comruss_lawrence@optum.compavan.kumar_thatha@optum.comjonathan_mitchell@optum.comkiran_chowdhary@optum.committal_priyanshu@optum.com

Github