EBMS builds a Self-serve Member Portal
An exhaustive single point to navigate through all healthcare needs
key highlights
A Self-serving, one-stop shop for members to access plan benefits, eligibility, claims & enrolment
Significant reduction in helpline call flow with portal facilitating 91% of total member interactions
25% YOY increase in the number of new clients on-boarded
The Context.
EBMS is an Industry Leading TPA of self-funded benefit plans in US. Amidst constant rise in health costs, EBMS delivers value by improving access to healthcare & containing costs simultaneously.
Its core solutions are designed to simplify things & result in a better experience for everyone. EBMS is determined to ‘Reduce Costs’, ‘Improve Care’ and ‘Make it Easy’ for its members to benefit from employer-sponsored healthcare.
In order to offer unified & integrated health & well being solution to organisations and individuals, EBMS has to partner with many external service providers. While EBMS offered a wholesome suite of benefits & services; the access to such benefits was provided through a legacy portal.
Interfaces were built on top of claim adjudication system, leaving the users with a disintegrated & difficult experience.
The Business Ask.
EBMS wanted to build a one-stop shop for its members, that offers a seamless & assistive experience in accessing its rich suite of healthcare benefits, services & information. They needed the best online experience which places benefit information, real-time claims and eligibility status at the fingertips of anyone who seeks it.
The Business Ask.
EBMS wanted to build a one-stop shop for its members, that offers a seamless & assistive experience in accessing its rich suite of healthcare benefits, services & information.
They needed the best online experience which places benefit information, real-time claims and eligibility status at the fingertips of anyone who seeks it.
The Solution Strategy.
Create a dynamic member-centric portal that offers:
1
Ease of Benefit Management; offers plan benefits, eligibility, claims & enrolment functions at the fingertips
3
Consistent user experience across all services
5
Quick configuration capabilities to onboard new clients with speed and efficiency
2
Simple Self-service tools for members, to quickly navigate through all health care needs
4
Robust, Secure and Fast Integration with multiple third party applications without compromising on accuracy and reliability of data
6
Personalization through targeted User Experience
The Solution Strategy.
Create a dynamic member-centric portal that offers:
1
Ease of Benefit Management; offers plan benefits, eligibility, claims & enrolment functions at the fingertips
2
Simple Self-service tools for members, to quickly navigate through all health care needs
3
Consistent user experience across all services
4
Robust, Secure and Fast Integration with multiple third party applications without compromising on accuracy and reliability of data
5
Quick configuration capabilities to onboard new clients with speed and efficiency
6
Personalization through targeted User Experience
The Technology Components.
CRM Architecture &
Development
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Frontend Development
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HTML 5, React JS, Node JS, Jquery
-
Server Side & API Development
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Java 11, Spring Boot 2 development framework, Maven, Redis & Python
-
Database Development
-
PostgreSQL
Cloud Infrastructure &
Services
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CloudFront, AWS ELB, EC2, loudWatch, S3, Cognito, VPN Gateways, AWS Lambda functions, Elastic Search, AWS Simple Mail Service, AWS Simple Notification Service (SNS), Internet Gateways & IAM
Monitoring &
Logging
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Rapid7 Ops Insights, App Dynamics
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CI/CD & DevOps
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Git/Bitbucket, Maven, Shell Scripting, Liquibase, Terraform
The Craftsmanship.
From conceptualization to ‘GOING-LIVE’, the entire
application was crafted in a period of six months.
It was made possible by a highly skilled team of 40 individuals, comprising of:
- Product Owners
- Business Analysts
- Visual Designers
- Infrastructure Engineers
- Front End & Back End Technologists
- Quality Assurance Experts
More Work.
HealthPlan Services enjoys real-time view & analytical reporting on data movement & interaction between multiple internal and external partner systems.
A cloud-based CRM platform, tailor made for a leading PBM Offering cost effective & intuitive service capabilities aimed to enhance customer experience.
