SKSK

Abarca Health

Claims Adjustment and Reprocessing Tool

Claims Adjustment and Reprocessing Tool, module used to retroactively process pharmaceutical claims.

The project focused on revitalizing a critical module within Abarca Health's flagship software, Darwin. The primary goal was to streamline operations by eliminating redundant processes and eradicating the necessity for manual spreadsheet uploads and downloads. This initiative was motivated by a vision of enhancing efficiency and providing greater transparency in claim reprocessing status for all members of the organization and their esteemed clients.

Batch Queue
Batch Details, creating Adjustment batch

One of the primary challenges addressed in this project was the streamlining of processes. Through meticulous design and user-centric workflows, the team successfully integrated seamless functionalities, reducing duplicative tasks. By carefully mapping out the user journey, the new module optimizes task flows, ensuring that users can accomplish their objectives with minimal effort, resulting in a more efficient and intuitive experience.

Batch Details, Adjustment batch pending
Adjustment Queue

Transparency was a key focal point of this enhancement. The revamped module now provides a comprehensive view of claim reprocessing status to all stakeholders within the organization and extends this visibility to clients. This newfound transparency fosters trust and confidence, creating a stronger rapport between Abarca Health and its clients.

Incorporating cutting-edge technologies was pivotal in the success of this project. The team leveraged the latest advancements in UX/UI design principles and the company's burgeoning design system, ensuring an intuitive and visually appealing interface. Additionally, integrating automated processes significantly reduces the dependency on manual data handling. This forward-looking approach not only ensures a modern and efficient system but also positions Abarca Health at the forefront of technological innovation within the industry.