Development and Optimization of Information Systems for Health Insurance Billing

Abstract

The developed Health Insurance Billing Information System relates to computer-assisted posting and processing of insurance claims. Medical providers prepare, post and receive health insurance claims. This process is important for running a medical practice. The developed information system performs data receipt, formatting, editing and processing; enables modern technologies and improves functionality of the former legacy information system that has provided substantial value over its years in existence. This article describes some of the components and design of the developed information system.

Applying the Method of Diverse Redundancy in Cloud Based Systems for Increasing Reliability

“…[17,18] It will reduce the dependence of the results quality from subjective factors such as qualification of performers, their experience. It will lower the risk of unsuccessful project close-out.…”

“…[15] We want systems to operate through faults in a seamless manner and to endure fact that operating conditions and environments are more uncertain and hostile; we want systems to be able to be deployed in unattended manner. [17,18] First we asked ourselves if it possible to achieve the reliability? Then we have to ask ourselves if the reliability that has been achieved is good enough for us?…”

“…[2] Diversity, exception handling is used in programming of software applications to protect against design faults. [2],[20], [17], [18] …”

Implementation of Security Systems for Prevention of Loss of Information at Organizations of Higher Education

“…The necessary customization and optimization of the information system was performed. [5], [6]. The server equipment and software have been set up in the main Data Center of the University.…”

E-Healthcare Billing and Record Management Information System using Android with Cloud

“…Electronic health records (EHR) and electronic billing systems have been proposed as mechanisms to curb the rising costs of healthcare and also helps to detect the fraudulent practices in the traditional healthcare system [1]. Many healthcare professionals, hospitals and insurance agencies maintains the paper-based records, billing of the patients which is been converted later into computer-based billing and records which can be abused, modified or lost for malpractice done by frauds either for money or grudge.…”