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View Resume2014-2017
(Electronics)
JNTUA
(Electronics)
JNTUA
CurrentProject:ClaimsDashBoard
Software used: Visual studio 2019
Technologies Used:Asp.Net mvc,Ado.Net,SqlServer,C#.net,HTML,CSS,Jquery
Duration : June 2021 to October 2022
Description:
Claims dashboard is a tool that can be used to compare the discrepancy in claims.in this tool we are generating reports that contains the discrepancy in claims,here we are storing claims information in custom tables and comparing with the facets configuration in terms of copay,coinsurance and deductible.we are generating two reports using this tool one is post prod claims report and other one is potential claims failure report.
post prod claims report contains summary report, summary breakdown report and claims impact report. summary report it shows all the claims of total charged amount,subscriber count,provider count having both PA mismatch and Cost Share mismatch. summary breakdown report contains total charged amount,subscriber count,provider count for PA mismatch also total charged amount,subscriber count,provider count for cost share mismatch. claims impact report contains the details of all the claims impacted with either PA mismatch and cost share mismatch.
potential claims failure report contains Discrepancy report and claims impact report.Discrepancy report contains the mismatched claims in terms of copay,coinsurance and deductible.claims impact report contains the details of all the mismatched claims
● Involved inCoding.
● Implemented console application to generate excel files.
● Involved in writing Queries, StoredProcedures.
● Implemented crud operations using MVC,c# and SQL server2018.
Previous Project 2: SaltHealthCare Software used: Visual studio 2019 Dot net Core last used: 3.1
Technologies Used:Asp.Net core,Web Api,Ado.Net,SqlServer,C#.net,Angular 10
Duration : october 2019 to may 2021
Salt Health Care application is used for only surgery related procedures for small clinics
,which helps in efficient clinic management by managing Doctor's appointments, scheduling, patient registration, and the administrative activities.
The staff module is used for defining staff Details, General Parameters such as Blood Group, Doctor's Specialization, Departments etc.,A comprehensive patient data is collected using Patient Registration Module Patient contact information, Patient's Doctor, Company Information, Emergency Contact information, Blood Group, Height, Weight etc.
The organisation Module used to create the organisation and its locations,and we can also create locations with multiple contacts,this module maintains the organisation details,
The Subscription Module maintains the subscriptions subscribed by the organisations.The subscription plans can be maintained for 15,30,60,90 days.this module maintains roles and its limits for particular organisations.
The Appointment Module consists of scheduling the Doctor’s Appointment, Canceling the Doctor’s Appointment and remainder to the Patient by means of SMS and email.
● Involved in requirement gathering andunderstanding
● Involved in analyzing and technical documentpreparations
● Developed Web API services using C# as code behind language and SQL database
● Used ADO.Net for databaseconnection.
● Creating all necessarydocuments.
Claims dashboard is a tool that can be used to compare the discrepancy in claims.in this tool we are generating reports that contains the discrepancy in claims,here we are storing claims information in custom tables and comparing with the facets configuration in terms of copay,coinsurance and deductible.we are generating two reports using this tool one is post prod claims report and other one is potential claims failure report.
post prod claims report contains summary report, summary breakdown report and claims impact report. summary report it shows all the claims of total charged amount,subscriber count,provider count having both PA mismatch and Cost Share mismatch. summary breakdown report contains total charged amount,subscriber count,provider count for PA mismatch also total charged amount,subscriber count,provider count for cost share mismatch. claims impact report contains the details of all the claims impacted with either PA mismatch and cost share mismatch.
potential claims failure report contains Discrepancy report and claims impact report.Discrepancy report contains the mismatched claims in terms of copay,coinsurance and deductible.claims impact report contains the details of all the mismatched claims
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