Enhancing Health Insurance Portals: Development and Maintenance of Multi-Portal Architecture

The digital interfaces are what help to make the healthcare insurance sector a smooth service to users within various stakeholder groups such as members, providers, employers, and agents. This paper provides the development, maintenance, and support of a multi-portal architecture within one of the leading health insurer's Web Presentation and Personalization (WPP) framework. It will have portals to cater for each need of a user in terms of member, provider, pharmacist, and claim support towards the insurance service over a web farm environment based on Microsoft. This technology portrays technical responsibilities involved in managing complex systems in addition to utilizing ADO.NET with efficient data handling, LINQ datasets, and WCF-based services along with secure and domain-oriented application communication. This can also be seen by the fact that Log4Net was used to implement the HIPAA-compliant logging functionality and that EDI format processing was applied for the claims and enrolments to demonstrate that this project actually focused on the compliance issue. In fact, applying SOA and TFS-based build integrations this paper investigates how these two systems facilitate the scalability data security, and user-accessibility within the high demand production environment. The research provides a roadmap to other organizations interested in easing the management of their multi-portal environments while retaining the desired regulatory compliance and user-focus functionality.

Publication Details

Journal
Zenodo (CERN European Organization for Nuclear Research)
Published
2024-11-12
DOI
https://doi.org/10.5281/zenodo.14598769
Primary Topic
Electronic Health Records Systems
Type
article
Field-Weighted Citation Impact
0.00
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article

Enhancing Health Insurance Portals: Development and Maintenance of Multi-Portal Architecture

Zenodo (CERN European Organization for Nuclear Research)
Electronic Health Records Systems
article

Enhancing Health Insurance Portals: Development and Maintenance of Multi-Portal Architecture

article en

Abstract

The digital interfaces are what help to make the healthcare insurance sector a smooth service to users within various stakeholder groups such as members, providers, employers, and agents. This paper provides the development, maintenance, and support of a multi-portal architecture within one of the leading health insurer's Web Presentation and Personalization (WPP) framework. It will have portals to cater for each need of a user in terms of member, provider, pharmacist, and claim support towards the insurance service over a web farm environment based on Microsoft. This technology portrays technical responsibilities involved in managing complex systems in addition to utilizing ADO.NET with efficient data handling, LINQ datasets, and WCF-based services along with secure and domain-oriented application communication. This can also be seen by the fact that Log4Net was used to implement the HIPAA-compliant logging functionality and that EDI format processing was applied for the claims and enrolments to demonstrate that this project actually focused on the compliance issue. In fact, applying SOA and TFS-based build integrations this paper investigates how these two systems facilitate the scalability data security, and user-accessibility within the high demand production environment. The research provides a roadmap to other organizations interested in easing the management of their multi-portal environments while retaining the desired regulatory compliance and user-focus functionality.

Zenodo (CERN European Organization for Nuclear Research)
Industry, innovation and infrastructure
Openalex Percentile: Top 44%
Electronic Health Records Systems
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