Custom data portal development
Optimizing insurance data analysis
Project for:
RPC
RPC is a company that specializes in processing and analyzing medical claims, applying industry-standard edits, and calculating reimbursement rates based on various data sources.
RPC needed a scalable, user-friendly solution to replace their spreadsheet-based approach, so they turned to Standard Beagle to develop a custom browser-based application that would streamline claims processing, automate calculations, and improve user experience while ensuring accuracy and compliance.
Expertise
Our team collaborated with their team, attending regular meetings and maintaining constant communication to understand their specific requirements, ensuring we delivered a solution that seamlessly integrated with their existing processes and met industry standards.
Client
RPC is a company that specializes in processing medical claims and applying industry-standard edits to ensure accurate reimbursement calculations.
Timeline
While this custom data portal development project evolved over nearly two years, it was a result of the complexity and scope of the custom solution required. We worked closely with RPC throughout the process to ensure that every detail was addressed.
Challenge
Custom UI for database queries
Like many organizations, RPC relied heavily on complex spreadsheets to manage and process medical claims. Over time, however, they found that the process was becoming increasingly inefficient and difficult to scale. The use of spreadsheets, while functional, created a lack of consistency and accessibility.
RPC realized it was time to transition from their spreadsheet-based approach to a more scalable and user-friendly solution. They asked us to help develop a custom browser-based application that would streamline their claims processing, automate key calculations, and provide a more intuitive and efficient user experience, all while ensuring accuracy and compliance with industry standards
Solution
Efficiency through custom data portal development
Our team handled the full development lifecycle, including consulting, design, and programming of the application. Key features included building custom user interfaces, implementing complex claim repricing algorithms, and ensuring the application’s compatibility with SQL databases and modern web browsers.
We also incorporated robust validation mechanisms to prevent data entry errors and enabled seamless export of processed claims to Excel. Throughout the project, we adhered to a detailed timeline with weekly reviews and rigorous quality assurance testing, ensuring that RPC’s requirements were met, and the final product was fully functional and ready for deployment.
Impact
The tool improved efficiency and enabled RPC to handle larger volumes of claims more accurately.
Custom validation
We built an automated claims validation system that checks for common data entry errors in real time, reducing manual review time and ensuring greater accuracy. This system flags issues such as invalid codes, incorrect formats, and missing information, enabling users to correct errors before submission.
Dynamic pricing
We created a dynamic pricing engine that calculates reimbursement rates based on CMS standards, UCR values, and other industry data, streamlining the process and improving consistency across claims. This engine automatically adjusts for regional variations, inflation rates, and different provider types, ensuring that each claim is priced accurately and in compliance with the latest industry guidelines.
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