Claims Plus - Patient Facesheet

Our company was designing and building claims management software for a large health insurance company that would help their claims managers overcome challenges with their current workflow. My job was to research and design our software solution so our company could use my prototypes to secure more funding.

Problem—No patient facesheet

A patient facesheet is a common medical document that centralizes all the medical history about a single patient on one screen. In their current software our users could only see the medical history for a patient one claim at a time. In order to see the full medical history for a patient the claims manager had to painstakingly navigate back and forth between all the claims for that patient.

Solution—Automatically generate a patient facesheet

Our software was already adding medical records to claims so we decided to also aggregate those medical records into a single patient facesheet. Our patient facesheet would show all the medical history we had for a patient in one place rather then having it spread out in different claims. With the new patient facesheet the claims manager could easily switch back and forth between a single screen with the patient’s full medical history and the individual claim line they were reviewing.

Read the full case study to see how I helped claims managers do their job faster and more efficiently https://medium.com/@jjuvenal/designing-software-to-help-claims-managers-process-claims-faster-0c5fd051f935