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HIPAA Scape has been developed on a state-of-the-art open and flexible platform which allows it to easily interface and integrate with the existing third party or proprietary applications.
Features Of HIPPA Scape

Features Of HIPAA Scape:

  • A web-based application for creating all HIPAA transactions
  • Can parse data formatted in either XML/JO
  • Creates EDI and also creates customizable XML/JO from EDI
  • Can convert any legacy or proprietary claims format to 837s and vice versa
  • Can capture and populate transaction information into any type of database

Youngsoft offers a comprehensive web-based solution suite that handles the entire set of EDI transactions mandated by the Health Insurance Portability and Accountability Act (HIPAA). H2H HIPAA Scape encompasses all health care administrative and financial transactions implemented as an ASP model or as a “turn-key” solution.

HIPAA Scape captures, processes, and securely transmits information for the following HIPAA compliant healthcare transactions: enrollment, eligibility status inquiry and response, premium payment, claims submission (professional, dental, and institutional), claim status inquiry and response, referrals, authorizations, certifications, claim attachments, and claims payments (ERA and EFT).

HIPAA Scape is being utilized by physician offices, hospitals, health plans, medical billing companies, and third-party administrators (TPAs). Any entity that deals with protected health information (PHI) and is covered by the HIPAA regulations will benefit from the functionality and embedded security that includes user authentication, data encryption, secure data transmission and digital signature technologies in order to ensure the integrity of all transactions.

HIPAA Scape has been developed on a state-of-the-art open and flexible platform which allows it to easily interface and integrate with the existing third-party or proprietary applications.

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About The Client

SIHO Insurance Services, headquartered in Southern Indiana USA, is a newly created Medicare Advantage insurance service company that was intent on utilizing technology to boost the efficiency of traditional member communications and enrollment services. SIHO wanted to provide prospective members with a broad range of insurance policy options, drug formulary breakdowns, and provider network options, as well as a cadre of highly customizable premiums, all of which were designed to deliver greater value and information to its potential and active members.

The Business Need

To build a compelling website that complied with all CMS (Center for Medicare and Medicaid Services) Medicare Advantage guidelines, including compliance with the American Disability Act Section 508 requirements for persons with visual and or hearing challenges, that was visually engaging and attractive for first time prospective visitors, and that helped these persons to easily navigate through the site to ascertain coverage options, covered medications, choices of providers/hospitals, etc. As this is not an easy lift for any organization, SIHO sought outside expertise to help with designing, developing, testing, and deploying this comprehensive website.

The Challenge

To accomplish all of the above-outlined business initiatives in a highly compressed time period, and to ensure that CMS approvals were granted to enable SIHO to “go-live” for Member Enrollment starting in mid-October, 2020. The newly designed website/platform needed to be:

  • Scalable
  • Highly responsive with minimal to no latency for users
  • Reliable
  • Visually appealing
  • Easy to navigate
  • Cost-effective
The Solution

The cloud consultants of Youngsoft proposed and designed an optimal infrastructure from the ground up, with a focus on delivering results to SIHO’s expectations. Important elements included:

  • Designing the architecture leveraging the “Well-Architecture” framework principles within AWS
  • Utilizing an Amazon EC2 server that was provisioned with IAM roles for overseeing security protocols
  • Utilizing AWS (RDS) for enhanced performance of the application
  • SNS enabled for getting time-critical messages through a “push” mechanism
  • Load Balancing for distributing the traffic among the servers
  • S3 for storing objects through a web service interface
  • Cost-optimization using a savings plan from AWS that provides for a full-upfront acquisition of anticipated resources
  • Incorporating CloudWatch Alarm which was leveraged for automation of Amazon Elastic Compute Cloud (Amazon EC2) Instance
  • Craft a cost-effective “blended development model” for the website design, build, test, and deployment, utilizing Youngsoft onshore as well as offshore team members working in close collaboration
AWS Services

EC2, S3, RDS, SNS, Cloudwatch, VPC, Lambda, Certificate Manager (ACM), Load Balancer

Third-Party Services

PHP, Drupal, MySQL, Apache Web Server, Google API

The Results

The Youngsoft team worked in close collaboration with SIHO and its internal Advisory Committee members, as well as with SIHO designated external consultants that included NAYA Advisory Management Consultants in Detroit, MI, and KEEN Studio in Grand Rapids, MI. The website was deployed on time and on budget. CMS approvals were granted so that SIHO could begin enrollment in mid-October for new members who will become effective on January 1, 2021.

Testimonials

“Youngsoft provided clearly communicated and well-defined project management steps throughout the design, development, testing, and implementation phases of our new website. Youngsoft team members were technically supportive and exceptionally capable. It was a pleasure to collaborate with each member of their team”.

Rob Taylor
SIHO, Director of Technology Services & Security Officer

“Youngsoft was a very engaged team of professionals during our project. They were attentive to project requirements and delivered an excellent product. Their technical proficiency and project communication was also very good”.

Mike Clancy
SIHO, VP of Information Technology Service

“The Youngsoft team was very skilled and knowledgeable regarding AWS infrastructure and environment setup. The Youngsoft team easily walked new AWS users through the setup and coached them through the process over the phone. Youngsoft also provided late/early hour support far beyond regular business hours to meet client needs”.

David Nethaway Principal, NAYA Advisors

About Youngsoft

Youngsoft, Inc. is an Information Technology Service and Product company founded in 1996, headquartered in metro Detroit, Michigan. For nearly 26 years, Youngsoft has specialized in IT Consulting Services, Project Delivery, and Team Staffing for clients spanning the globe, ranging from startups to industry leaders. Youngsoft is always focused on the future, forming partnerships with other innovative companies and investing in emerging technologies to deliver visionary business solutions.

Youngsoft offers end-to-end cloud solutions across industry verticals and 24×7 support and monitoring of its services, fortified by highly trained DevOps and architectural support. Youngsoft is focused on agility, precision, innovation, and quick turnaround. All Youngsoft cloud engineers are AWS-certified, comprising a team that effectively delivers the benefits of AWS cloud services to all clients.

In our journey to become a premium cloud service provider, Youngsoft has successfully deployed multiple cloud-based solutions, complemented by managed services while leveraging all of the latest technology and tools available through AWS. The results – satisfied clients and referenceable implementations.

To learn more about the solutions we offer, and how we can assist you, contact us at:

Youngsoft, Inc.
49197 Wixom Tech Drive, Suite B
Wixom, MI 48393
www.youngsoft.com

Milan Popovich
Vice President, Marketing and Sales
milanp@youngsoft.com
248-760-5500

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