Developed a Web application that can help the payer to manage better care for the members and coordinate the utilization management services.


  • Quality of care plays key role in value-based payment system. To achieve this, we have created a role-based web application built on AWS in secure HIPAA compliant environment.
  • The users from payer department can track each member and their family health status. Based on historic and socio-economic factors, member risk is calculated and guides the care coordination team to plan for care interventions with providers. Our application also helps in easy prior authorization management.

Key Features

  • Automated Care Plan Creation
  • Integrated Chatbot for member support
  • Intelligent interventions planning
  • Multiple department task integration
  • Member 360-degree view
Key Metrics

Accurate risk  prediction


Reduced the risk of rehospitalization.


Reduced errors in care coordination.

Saved 50k dollars compared to earlier system.

Technology Stack