Development of An Automated Medical Claim Processing (AMCP) Prototype

30多年来，Dynamic Medical Services一直为安大略省各地的医生和医疗机构提供医疗服务，包括咨询、计费、技术和培训。该公司还开发了许多专门的软件应用程序，例如清算所模型（CH），以满足需要处理大量复杂医疗索赔并接收这些服务付款的大客户的需求。然而，当前的CH平台需要大量的后端人工干预、处理和交付过程，这些过程可以通过实现可用的web服务和一些关键过程的自动化来改进。尽管Dynamic Medical拥有丰富的经验和技术知识，但他们需要技术援助来利用当前的网络和基于云的技术。通过合作，Dynamic MedicalServices和Lambton College将专注于设计和开发一个强大的平台，利用新的可扩展技术堆栈，通过自动化解决方案简化从接收到交付的业务流程。最终产品的成功开发和实施将为DynamicMedical客户提供额外的好处，并使业务能够增加容量。通过手动活动的自动化改进的流程将节省时间，由于减少错误而提高准确性，并简化索赔的提交过程。加强和简化的流程将导致安大略省和省际之间的市场增长。反过来，这将导致为技术和行政工作人员创造更多的就业机会。此外，这也将对初级保健收费人和医院产生积极影响，他们将不再需要花费大量时间跟踪服务付款和医疗病人。

For over 30 years, Dynamic Medical Services has been providing medical services for physicians and healthfacilities, including consulting, billing, technology, and training throughout Ontario. The company has alsodeveloped a number of specialized software applications, such as the Clearing House Model (CH) to facilitatethe needs of large clients that need to process a large number of complex medical claims and receive paymentfor these services. However, the current CH platform requires significant back-end manual intervention,processing, and delivery processes which could be improved through the implementation of available webservices and automation of some key processes.Although Dynamic Medical has significant experience and technical knowledge, they require technicalassistance to take advantage of current web and cloud-based technologies. In collaboration, Dynamic MedicalServices and Lambton College will focus on the design and development of a robust platform, utilizing the newand scalable technology stack to streamline the business workflow from intake to delivery through anautomated solution.The successful development and implementation of the final product will provide added benefit to DynamicMedical clients and enable the business to increase capacity. The improved process through automation ofmanual activities will result in saved time, improved accuracy due to reduced errors, and streamline thesubmission process of claims. The enhanced and simplified process will lead to market growth across Ontarioand inter-provincially. In turn, this will lead to the creation of additional jobs for technical and administrativestaff. Furthermore, this will also have a positive impact on primary care billers and hospitals, who will notlonger need to spend significant time following up on payment of services and with medical patients.