Accelerating Claims Management Efficiency with Test Automation
The customer is a specialized claims management company led by business and pharmacy practice professionals with extensive managed care and clinical expertise.
The Need
The customer aimed to streamline their claims management operations, which included validating B1/B2 claims from pharmacies and ensuring compliance with business rules for ingredient approvals. With the requirement to process claims within three seconds in real time, they needed a scalable, efficient solution to support complex operations, enable faster releases, and maintain high-quality deliverables.
The Challenge
The customer faced several critical operational challenges:
- Manual Validation: Extensive manual backend validation of B1/B2 claims slowed processes and increased error risks.
- Testing Volume: Regression testing for service portals, pharmacy locators, and prescriber hubs required significant effort, taking days to complete.
- Cross-Browser Compatibility: Testing across Chrome, Internet Explorer, and Firefox added complexity to the workload.
- Feature Variations: Frequent updates to features like the pharmacy locator amplified test case volumes, complicating releases.
- Performance Benchmarks: Ensuring all transactions were processed within three seconds added further pressure to manual processes.
These challenges underscored the urgency of adopting a test automation strategy to streamline operations, reduce errors, and accelerate delivery timelines.
Get it now