Azure Integration Services - Care Management Solution for Healthcare Provider
Industry

Healthcare Software Services Provider

Technologies Used

Azure Integration Services

Microsoft Power BI

Key Outcomes

Low costs involved to run the integration solution

Added flexibility to add providers easily

VNB Health implemented an integration solution leveraging Azure Integration Services for a healthcare services company to get patient details from providers into their cloud-hosted care management solution.

Customer Profile

The customer is a prominent healthcare insurance provider serving a vast population. With a rich history in the industry, they are committed to delivering comprehensive healthcare solutions and enhancing member experiences. The organization operates in a highly regulated environment, necessitating robust and compliant systems. Due to the sheer volume of transactions and complex nature of healthcare data, the customer handles a significant workload, demanding efficient and reliable IT operations. 

Customer Situation

The customer handled 270/271 Healthcare Eligibility Benefit Inquiry transactions to verify patient healthcare eligibility, coverage, and benefits. The customer relied on custom API interfaces built on Microsoft BizTalk Server to connect with multiple insurance payers. This complex integration environment, characterized by high transaction volumes and frequent changes, was prone to instability. Updates to one payer’s interface often disrupted connections with others. To mitigate this risk, accelerate development and ease the build, deployment and testing process, the customer sought an automated solution that would enable continuous integration and continuous delivery (CI/CD) with robust automated testing.

Customer Profile

Customer is a fast-growing company that produces the software system in the United States which combines patient reported outcomes with clinical data from electronic health records to produce personalized care plans for cancer patients and cancer survivors.  At the core, they are sophisticated clinical rules engine that processes historical and current clinical data for a patient in an artificial intelligence like manner to produce personalized care plans. An Azure based health service was essential.

VNB Solution

After conducting a detailed assessment of the client’s requirements, VNB recommended an integration solution leveraging Azure Integration Services. VNB built a scalable and flexible solution to bring data from various healthcare providers and send them to the customer's care management solution. VNB utilized an agile approach, which included:

  • Development of complete liquid maps to transform provider formats into JSON
  • Development of Azure Logic Apps workflow to access care management solutions REST API endpoints
  • Setup of retry capabilities, logging framework and custom email notifications in case of error scenarios
  • Download / upload of patient details from various provider portals using API connections
  • Interchange pub-sub architecture to ensure multi-tenancy in the partners integrations to the customer API
  • Tracking and monitoring business transactions using Azure Log Analytics

Customer Benefits

Lower cost to run the integration solution by leveraging Azure Integration Services pay-as-you-go model

Easy to maintain integration solution with flexibility to add new providers with no downtime

Insights into business transactions leveraging Power BI for Azure Log Analytics