Slide 1: HSTC301 www.harbinger-systems.com ELIGIBILITY RULES
FOR INSURANCE ECOMMERCE PORTAL
Slide 2: 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
Slide 3: Services
Web 2.0
eLearning
Software Product Development
Performance Engineering
Systems Software Locations
Redmond, USA
Pleasanton, USA
Pune, India Contact
sales@harbingergroup.com
info@harbingergroup.com
USA Tel: +1 (425) 861-8400, +1 (510) 991-7766
India Tel: +91.20.2528.4201 / 2 / 3 HARBINGER GROUP
Innovate. Partner. Excel.
www.harbingergroup.com HARBINGER SYSTEMS About
Harbinger Systems is a leading provider of software engineering services to some of the world's best product companies. By leveraging cutting-edge technologies, Harbinger Systems works with its customers as a partner in technology innovation. www.harbinger-systems.com