Streamlining Appointment Registration and Automated Insurance Verification with Integrated APIs

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Case Study
Development of a solution for streamlining appointment registration and automated insurance verification using integrated APIs

Client & product

The client is a leading provider of behavioral health services since 1995. With a wide network of over 1,000 care facilities spread across multiple states in the US, their team of specialists offers a comprehensive range of services including skilled nursing facilities, community-based adult homes, assisted-living settings, adult day care, and rehabilitation centers.

The primary objective of the client is to enhance the quality of life for residents by providing comprehensive behavioral health services, while also supporting the interdisciplinary care team in implementing optimal person-centered care approaches.

Challenge

Although the client has an established custom workflow for scheduling appointments online, they recognized the need to enhance overall operational efficiency and improve the customer experience. As a result, the company came to decision to integrate Waystar API, an insurance verification clearinghouse, to streamline their current process.

Objectives

  • Streamlining Appointment Registration and Automated Insurance Verification with Integrated APIs 1

    Improvement of
    the appointment
    registration process

  • Streamlining Appointment Registration and Automated Insurance Verification with Integrated APIs 2

    Implement a cloud-based
    solution utilizing Google Cloud API
    to ensure seamless data
    management and accessibility

  • Streamlining Appointment Registration and Automated Insurance Verification with Integrated APIs 3

    Integrate an automated
    insurance verification solution
    using Waystar API to save
    time and reduce
    administrative costs

  • Streamlining Appointment Registration and Automated Insurance Verification with Integrated APIs 4

    Integrate Acuity API
    to seamlessly update and
    synchronize scheduling data

Solution

DevCom came up with a solution that met the idea of new automatic insurance verification which was incorporated into the new workflow. After evaluating several options, it was decided to develop a custom web page and custom API.

Value delivered

DevCom introduced a solution that met the following criteria:

  • 1. Development of a new custom intake form that meets the specified requirements and accurately captures the necessary information.
  • 2. Development of a custom API to support a new process.
  • 3. Development of a custom database to efficiently store and organize all collected data, ensuring data integrity, security, and easy retrieval.
  • 4. Development of a set of reports to view and analyze the collected data to support decision-making processes.

Results

The introduction of the solution, including automated insurance verification software greatly improved the overall user experience of the system, leading to significant enhancements in every interaction. By integrating a third-party API, both clients and staff using the platform were able to eliminate errors caused by human factors when registering appointments. This integration resulted in a more streamlined and dependable workflow, making the platform faster, more stable, and highly useful.

Technologies used

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