Project:
Dental Health Associates - Claims Management Tracking
System
Hollywood, California Task: Develop
a Multi-User Database on Microsoft Access2000 to automate
the Claims Management System to track, maintain, calculate
and manage Dental Eligibility Claims.
Automate time consuming and repetitious tasks of collecting
data, billing and sending statements / claims.
Scan Claim Forms, Claim Payments and manage scanned
data.
Print checks in Batch mode.
Track All automated as well as manual Eligibility
calls.
Solution: Existing historical
data was imported into the new database.
Developed routines to import the Insurance Company's
Eligibility Data, on monthly basis.
Databases were created for Doctors, Eligible Patients,
Current Patients, Historical Claims, and all their relationships
were established and the data was normalized.
Comprehensive User Interfaces was created for viewing
all Eligibility Data, as well as all the Claims and
their associated Doctors and Patients.
Multiple workstations were setup for scanning claims
and viewing them electronically.
Dynamic reporting of Revenue, Activities, processes
Results:
There are over 30 different input screens, 25 different
reports, processing a database of close to 200,000 eligible
patients. The system is handling and reporting on thousands
of cases every month.
Tools:
Microsoft Access 2000, Microsoft Office 2000, Microsoft
Windows 2000 Workstations (Dell systems), Microsoft
Windows NT Server, Fujitsu Scanners |
|