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Deployment of Leading-edge Provider Portal helps a Fortune 500 insurer improve its Workers Compensation and Customer Service Experience

Introduction:
A Fortune 500 insurance company needed to enhance its provider portal to allow selfservice for its providers in the Workers Compensation (WC) network as part of a long term roadmap to improve its overall provider experience.

Background & Context:
Our client was dissatisfied with its existing provider portal. They identified issues such as inflexibility, unwieldiness and the lack of scalability. They were looking for a solution that would eliminate all of these concerns and also work towards a larger, long-term roadmap for improving provider experience.

The insurer along with hCentive identified the following key features:
  • Consumer Portal
  • Provide self-registration facility for WC providers
  • Provide access to WC bills, Explanation of Review, Bill appeal/Reconsiderations, and key data
  • Provide secure access to request customer service, or to submit documentation
  • WC providers could login into the site and check provider related data like News/Resources (forms).


There was also a need for supporting the system in production for fixing logged defects.

The hCentive Approach:

The hCentive team was responsible for everything from requirements analysis to deployable code. This execution included:
  • Gathering requirement and creating requirements documents to meet all project objectives
  • Creating an aggressive project schedule of delivering six modules in two iterations
  • Prototypes development of all user-facing interfaces
  • Technical design/architecture
  • Testing/QA of the code for new features and integration with provider portal


Conclusion and Impact:
hCentive's solution for the workers compensation network module helped:

  • Customer service use the provider portal as an online interface
  • Significantly reduced the number of phone calls for the insurer's customer service department
  • Provide the ability to obtain bill status and related data online
  • Improve the overall provider experience for the client


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Why hCentive
  • Full ACA/HIPAA compliance
  • Intuitive user-friendly interface
  • Reduced implementation costs
  • Shorter implementation cycle
  • Product customization capability
  • Seamless system integration
  • Per Member Per Month (PMPM) cost model
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