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Insurance Database Management System Automating Insurance Claims Management in a Large Hospital

Project Summary

A local hospital wanted to computerize its manual processes for insurance claims administration, third-party billing, reimbursement and payments. I re-engineered the business processes and designed a comprehensive database administration system using MS Access and Visual Basic, with automated workflows, enhanced claim and bill tracking and real-time management reports.

Increased efficiency and effectiveness of the business processes resulting in a 60% improvement in claims submission by 60% and a 45% increase in payment and reimbursements.

The project was successfully completed.

 

Project Skills & Resources:
Database Administration microsoft-visual-basic, microsoft-access-programming, database-adminstration, database-design, business-process-reengineering

Project Specification

Industry: 
Healthcare

Project Team Lead:
ICT Business Consultant

Timeline:
Six (6) Months

Consultancy Process

  • Business Process Analysis
  • Business Process Reengineering
  • Policy Development
  • Application Development
  • User Acceptability Testing
  • Project Implementation

Key Outputs

  • Insurance Claims Application
  • Training Manual & User Guides
  • Insurance Claims Policy & SOP's
  • Digitization of Manual Documents
  • Change Management Program
  • Application Training

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