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Modernizing Legacy Healthcare Claims Management App:

Migration from On-premise to AWS Cloud

Migration from On-premise to AWS Cloud

.NET

C#

MSSQL

EF core 7

AWS

Docker

Razor

Introduction

This case study examines Integriti’s effective redevelopment of our client’s legacy web application, a core business process tool built for over 12 years.

Recognizing the potential for improved maintainability and scalability, the project requirement was to modernize the application using Microsoft’s .NET, encompassing C# & MS SǪL Server.

Challenges

Challenges

The existing web application, with over 12 years of service, had accumulated a substantial amount of legacy code.

Transitioning from this legacy codebase to the new Microsoft .NET was a complex task, requiring meticulous planning to avoid disruptions in
functionality.  

Integrating an agile methodology into the development process required close
collaboration with the client company’s team, as it involved a shift in their accustomed working practices.  

Simultaneously, replicating and optimizing background jobs and processes without causing disruptions to ongoing operations was crucial.

Solutions

Solutions

Client’s web app redevelopment demanded a strategic and phased approach to ensure a seamless transition to the modern .NET platform.
 
The project was segmented into three streams.
 
The project was executed by a team of experienced software developers and QA automation engineers from Integriti.
 
The team followed an agile methodology, using sprints, daily stand-ups, and retrospectives.  
 
The team also used tools such as Visual Studio and other automation testing and development automation tools to facilitate the re-development and testing process.

Integriti implemented a
three-phase approach

UI Modernization

Phase

UI Modernization
(focusing on user experience and responsiveness)

1

Non-UI Streamlined

Phase

Non-UI Streamlined
(background jobs optimization)

2

Data Migration

Phase

3

Data Migration
(ensuring data integrity and futureproofing)

Integriti implemented a three-phase approach

Streamlined Insurance Operations

Integriti built a custom platform for workers’ compensation pharmacy claims. This streamlined system includes claims management, billing, and analytics, boosting efficiency, accuracy, and client satisfaction.

Claims
Management:

Integriti’s system streamlines workers’ compensation claim handling, from submission to resolution, with features like real-time tracking and analytics, improving efficiency and accuracy.

Provider
Management:

The platform simplifies managing healthcare providers in the workers’ compensation system, ensuring compliance and fostering better collaboration.

Receivables & Payables Management:

Clients gain robust tools to manage payments, invoices, and financial obligations, leading to optimized cash flow and improved financial performance.

Streamlined Insurance Operations
Streamlined Insurance Operations

Claims
Management:

Integriti’s system streamlines workers’ compensation claim handling, from submission to resolution, with features like real-time tracking and analytics, improving efficiency and accuracy.

Provider
Management:

The platform simplifies managing healthcare providers in the workers’ compensation system, ensuring compliance and fostering better collaboration.

Receivables & Payables Management:

Clients gain robust tools to manage payments, invoices, and financial obligations, leading to optimized cash flow and improved financial performance.

Tackling Development Roadblocks  

In workers’ compensation claims processing, several technical complexities arise due to the nature of the data involved, the need for secure systems, and the requirements for efficient processing.

Here are the
technical
challenges

that Integriti team addressed
as a development partner

1

Data
Integration:

Integriti integrated diverse data sources, including medical records and insurance policies, ensuring format consistency.

2

Security &
Privacy:

Robust security measures protected sensitive claims data throughout processing, following regulations like HIPAA.

5

Interlinkage
Synergy

The platform ensures smooth information exchange with external parties like healthcare providers.

4

Scalability &
Optimization:

The system can handle fluctuating claim volumes while maintaining performance.

3

Workflow
Automation:

Streamlined workflows with automation improved claims processing efficiency.

6

Legacy System
Integration:

Integriti successfully integrated the client’s legacy system with newer technologies.

7

Real-Time
Insights:

Stakeholders gained access to real-time reports and analytics for informed decision-making.

Here are the
technical
challenges

that Integriti team addressed
as a development partner

1

Data
Integration:

Integriti integrated diverse data sources, including medical records and insurance policies, ensuring format consistency.

2

Security &
Privacy:

Robust security measures protected sensitive claims data throughout processing, following regulations like HIPAA.

3

Workflow
Automation:

Streamlined workflows with automation improved claims processing efficiency.

4

Scalability &
Optimization:

The system can handle fluctuating claim volumes while maintaining performance.

5

Interlinkage
Synergy

The platform ensures smooth information exchange with external parties like healthcare providers.

6

Legacy System
Integration:

Integriti successfully integrated the client’s legacy system with newer technologies.

7

Real-Time
Insights:

Stakeholders gained access to real-time reports and analytics for informed decision-making.

Addressing the above technical challenges required collaboration between Software Developers, business analysts, and domain experts. By leveraging emerging technologies, best practices in software development, and a deep understanding of the unique requirements of workers’ compensation claims processing, Integriti overcame these complexities and improved the efficiency and effectiveness of our client’s claims management system.  

Results & Impact
Enhanced user experience

Enhanced user experience  

Boosting user satisfaction and adoption

Successful modernization

Successful modernization

With improved performance, scalability, & maintainability  

Future-proof platform

Positioning client for tech advances, tool integration.

Future-proof platform

Strong partnership

Strong partnership

Building trust and exceeding expectations.  

USPs in Action

Integriti’s Unique Strengths

Forward Arrow USPsTransparency
Transparency
CredibilityForward Arrow USPs
Credibility
Competitive pricingForward Arrow USPs
Competitive pricing
Dedicated teamForward Arrow USPs
Dedicated team
Daily overlap time
Daily overlap time (6hrs)

Played a pivotal role in the project’s success

Integriti’s strategic approach and skilled execution resulted in a successful modernization of our client’s web application.  

modernizing-legacy-healthcare-claims-management-app

The existing web application, with over 12 years of service, had accumulated a substantial amount of legacy code.


Transitioning from this legacy codebase to the new Microsoft .NET was a complex task, requiring meticulous planning to avoid disruptions in functionality.  


Integrating an agile methodology into the development process required close collaboration with the client company’s team, as it involved a shift in their accustomed working practices.  


Simultaneously, replicating and optimizing background jobs and processes without causing disruptions to ongoing operations was crucial.

Challenges

Breathing New Life into Client’s project with .NET

Client’s web app redevelopment demanded a strategic and phased approach to ensure a seamless transition to the modern .NET platform

Integriti implemented a three-phase approach:

  • Phase – 1 UI Modernization (focusing on user experience and responsiveness

  • Phase – 2 Non-UI Streamlined (background jobs optimization)

  • Phase – 3 Data Migration (ensuring data integrity and futureproofing)

Streamlined Insurance Operations:

Integriti built a custom platform for workers’ compensation pharmacy claims. This streamlined system includes claims management, billing, and analytics, boosting efficiency, accuracy, and client satisfaction.

Claims Management: Integriti’s system streamlines workers’ compensation claim handling, from submission to resolution, with features like real-time tracking and analytics, improving efficiency and accuracy.

Provider Management: The platform simplifies managing healthcare providers in the workers’ compensation system, ensuring compliance and fostering better collaboration.

Receivables & Payables Management: Clients gain robust tools to manage payments, invoices, and financial obligations, leading to optimized cash flow and improved financial performance.

Tackling Development Roadblocks  

In workers’ compensation claims processing, several technical complexities arise due to the nature of the data involved, the need for secure systems, and the requirements for efficient processing. Below are the technical challenges that Integriti team addressed as a development partner:

Data Integration: Integriti seamlessly integrated various data sources like medical records and insurance policies, ensuring consistency despite different formats.
Security & Privacy: Robust security measures protected sensitive claims data throughout processing, following regulations like HIPAA.
Workflow Automation: Streamlined workflows with automation improved claims processing efficiency.
Scalability & Optimization: The system can handle fluctuating claim volumes while maintaining performance.
Interoperability: The platform ensures smooth information exchange with external parties like healthcare providers.
Legacy System Integration: Integriti successfully integrated the client’s legacy system with newer technologies.

Real-Time Insights: Stakeholders gained access to real-time reports and analytics for informed decision-making.

Addressing the above technical challenges requires collaboration between Software Developers, business analysts, and domain experts. By leveraging emerging technologies, best practices in software development, and a deep understanding of the unique requirements of workers’ compensation claims processing, Integriti overcame these complexities and improved the efficiency and effectiveness of our client’s claims management system.  

The existing web application, with over 12 years of service, had accumulated a substantial amount of legacy code.


Transitioning from this legacy codebase to the new Microsoft .NET was a complex task, requiring meticulous planning to avoid disruptions in functionality.  


Integrating an agile methodology into the development process required close collaboration with the client company’s team, as it involved a shift in their accustomed working practices.  


Simultaneously, replicating and optimizing background jobs and processes without causing disruptions to ongoing operations was crucial.

Results & Impact:

with improved performance, scalability, & maintainability  

Successful modernization

boosting user satisfaction and adoption

Strong partnership

positioning our client for future technological advancements and seamless integration with modern tools.  

Future-proof platform

building trust and exceeding expectations.  

Strong partnership

USPs in Action: Integriti’s Unique Strengths  

Transparency, credibility, competitive pricing, a dedicated team, and six hours of daily overlap time—played a pivotal role in the project’s success. 
 

Integriti’s strategic approach and skilled execution resulted in a successful modernization of our client’s web application.  

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