Brandon Sharp

Complete Wellness Web Application (2009)

admin — Mon, 01 Feb 2010 20:53:57 +0000

Complete Wellness Plus Web Application (2009)

Microsoft MVC based project designed to provide clients of Complete Wellness with a comprehensive web-based wellness solution. It features a C# back-end and a jQuery javascript based user interface.

Features include:

Fitness/Nutrition Logs
Health Risk Assessment Test (HRA)
Third party connectivity for HRA involving data being transmitted by a WCF web service
Recommended fitness and nutrition plans based on HRA score
Goal setting and tracking
Health coaching

Technologies Utilized:

C#.NET
Microsoft MVC Framework
jQuery
Javascript
CSS
HTML
MS SQL Server

Budget:

$300,000

Project Length:

1 year

Complete Wellness WCF Web Service (2009)

admin — Sun, 31 Jan 2010 09:06:01 +0000

A web service designed to transmit the user’s answers to the health risk assessment test taken in the Complete Wellness Plus Web Application. The WCF web service transmits the answers to a third-party partner web service who analyzes the test. Results are formulated by the third-party vendor and are then transmitted back to an additional web method that is part of the service.

Features Include:

Real-time health risk assessment results
Instant user results and feedback
Secure transmission of personal data

Technologies Utilized:

WCF
C#.NET
MS SQL Server

View Code Sample

Prime Health Services Main Web Site (2006)

admin — Sun, 31 Jan 2010 09:05:14 +0000

Prime Health Services Main Web Site (2006)

Content driven web site focusing on Prime Health company information including client and provider access to network resources.

Features Include:

Health plan member access to provider look-up and nomination functions
Provider services including fee schedule access, contract review, and claim submission
Ability for a provider to view, agree, and sign a network agreement
Historical, product, and contact information about Prime Health Services

Technologies Utilized:

ASP.NET
C#
Javascript
Java Applet
Flash
CSS
HTML
Oracle

“Dibbler” CRM Application (2008)

admin — Sun, 31 Jan 2010 03:47:00 +0000

Desktop application designed to be a customer relationship management program. Created to include functionality equivalent to SalesForce.com, ACT, and Sugar CRM. Tracks customer/provider conversations and contact for both sales and recruiting staff.

Features Include:

Contact management, including relevant phone, email, and address information
Note capability to track conversations and reminders entered by the user for each contact
Email attachment capability through a custom Outlook plug-in, allowing users to attach email to a contact for retrieval and review at a later date
Integration with Prime Health’s Queball application allowing for meetings and follow-up phone calls to be scheduled for the recruiter automatically
Reporting options for sales statistics and provider recruitment statistics

Technologies Utilized:

C#.NET
Oracle
LINQ to SQL

View Code Sample

Custom Web Content Management System (2008)

admin — Sun, 31 Jan 2010 03:30:11 +0000

Content management system designed for Prime Health Services to allow many custom client websites to be created and managed by account managers without the normal overhead associated with maintaining and updating a commercial website.

Features Include:

Ability to customize pages with client logos and specific text
Ability to branch off custom URLs from the main PHS web site
Custom PPO provider database look-ups tailored to the clients’ specific access levels

Technologies Utilized:

C#
MS SQL Server
Microsoft MVC Framework

“CORE” WCF Web Service (2007)

admin — Sun, 31 Jan 2010 03:02:30 +0000

A WCF web service designed to receive a “stack” of medical claims through an XML web service transmission. In real time, the medical claim information is processed with network discounts, state regulations, and usual and customary discounts being applied. The best possible PPO provider is selected through an algorithm giving weight to more desirable providers and discounts. The response is then sent back to the client including the newly adjudicated medical bill.

Features Include:

Real-time bill adjudication
Secure data transmission through the web service
Ease of use provided by the XML format

Technologies Utilized:

WCF
C#.NET
Oracle

Budget:

$200,000

Project Length:

Iterative process over 3 years

View Code Sample

“Queball” Provider Nomination Management System (2005)

admin — Sat, 30 Jan 2010 23:03:33 +0000

Desktop application designed to drive the network development process at Prime Health Services. Accepts provider nominations from various sources including client web submissions, recruiter research, call center research, and targeted data mining. Directs recruiting process by assigning providers to recruiters, scheduling follow-up meetings, and automating mail room processes.

Features Include:

Automated mailings, faxes, and emails to potential providers, freeing up employee time for other tasks
Assignment of recruiting leads based on location
Scheduling of follow-up appointments for recruiters in custom CRM application
Conversion statistics for each employee showing their recruiting efficiency
Reports based on average recruiting times, medical specialty information, regional recruiting averages, etc.
Processes which can be driven by recruiting budget, taking into consideration a maximum amount to be spent each day. The process can slow or speed up based upon that budget.
Different mailing combinations may be sent out depending on the specific mailing campaign. For example, extra documents may be required in certain states.
Maximum postage savings through presorting and bar coding mail items based on USPS standards to receive bulk mail rates

Technologies Utilized:

C#.NET
Oracle
LINQ to SQL

Budget:

$150,000

Project Length:

8 months

View Code Sample

RenovoSystem Web Site (2004)

admin — Sat, 30 Jan 2010 23:02:08 +0000

RenovoSystem Web Site (2004)

Informational site designed to provide marketing information for the RenovoSystem web based bill adjudication application.

Features Include:

Product specific information
Sales contact information
Thin-client access through a secure log-in

Technologies Utilized:

ASP.NET
C#.NET
ActiveX
CSS
HTML

RenovoSystem Bill Adjudication Platform (2004)

admin — Sat, 30 Jan 2010 12:26:00 +0000

A medical bill adjudication software application designed to reprice group health, workers’ compensation, and auto liability medical claims. Allows for EDI, FTP bill drop, web service, and traditional keying of medical claims for entry into the application database. Once bills are entered, state rule methodology is applied in addition to PPO discounts. Finally, an explanation of benefits form is generated to complete the adjudication process.

Features Include:

Complex state discount logic and rules engine
Complete bill adjudication and claims tracking application
EDI/web service support
Extensive reporting capabilities
Thin-client access

Technologies Utilized:

C#
Oracle
MS Terminal Services
ActiveX
Crystal Reports

Budget:

$600,000

Project Length:

2 years

Data Export Utilities (2004)

admin — Sat, 30 Jan 2010 04:03:33 +0000

Various data export utilities designed to take the Prime Health database of providers and export the data into formats specific to each client. Often, clients would have their own proprietary format and PHS would have to give data out to the client in their chosen format.

Features Include:

Client specific data formats
Export of data from the database

Technologies Utilized:

C#.NET
Oracle

Budget:

$10,000 per client

Project Length:

2-3 months per client

View Code Sample