Eligibility rules for insurance e-Commerce portal - A Case Study


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An e-Business application that computerizes eligibility workflow through a flexible, rule-based engine requiring no programming, this application enables quick authoring and implementation in the face of changing eligibility policies and regulations.


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Follow Us blog.harbinger-systems.com www.twitter.com/HarbingerSys www.facebook.com/harbingersys www.slideshare.net/hsplmkting www.linkedin.com/companies/382306 HARBINGER SYSTEMS Overview Harbinger Systems is a leading provider of software engineering services to some of the world's best product companies. Our services span solution consulting, software design, development, testing and test automation. By leveraging cutting-edge technologies, Harbinger Systems works with its customers as a partner in technology innovation. www.harbinger-systems.com Services Software Product Development Web 2.0 Mobile eLearning Performance Engineering Systems Software Digital Marketing Also Read Our White Papers… Interactive User Experience (IUX): Going Beyond Interfaces Comparing Adobe Flex & JavaScript The Enterprise Software Makeover Guide Five Javascript Frameworks: A Point-by-point Comparison A Harbinger Systems Case Study www.harbinger-systems.com

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Challenge Eligibility rules needed to be flexible and easily configurable Rules change frequently with time due to changing policies and regulations Rules implementation required automation with no programming Harbinger Solution A binary-tree-based eligibility encoding proposed Intermediate nodes were eligibility questions and terminating node were actions Oracle RDBMS tables used to encode binary tree structure of eligibility workflow The largely static eligibility question nodes were encoded as DB stored procedures COM component developed to run through encoded paths and fire questions to arrive at required action Technologies & Tools Oracle RDBMS Binary tree representation in RDBMS tables Component Object Model (COM) Benefits Company encodes insurance eligibility workflow automation with no-programming Frequent changes in eligibility can be incorporated within hours instead of days BOTTOM LINE Company implemented a complex workflow automation that required no programming and maximum flexibility to match frequent future changes ELIGIBILITY RULES FOR INSURANCE ECOMMERCE PORTAL www.harbinger-systems.com Situation A brick-and-mortar insurance company creating an e-Business app to computerize eligibility workflow HSTC301

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