“CORE” WCF Web Service (2007)

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

Posted in Web Services at January 30th, 2010. No Comments.