Member Enrollment through the Healthcare Exchange
POC, Reference architecture and framework development

Overview
Development of Reference Architectures, Business, Information and Enterprise Architectures and Level 1, 2 Business Process Models


Scope of Engagement

  • Several thousand providers submitting claims and transactions to the payer's portal
  • Real time and batch processing
  • Application to application, service to application, SFTP to file transforms designed and developed
  • Guaranteed delivery of transactions whether real time or batch
  • Full redundancy and highly available level 1 enterprise solutions
  • 24 x 7 x 365 support and maintenance

Architectural Artifacts

  • SOA Reference Architecture
  • Cross Domain, Federated Solution and Entrerprise Architecture Frameworks
  • Current State Solution Reference Architecture
  • Future State Cloud Solution Reference Architecture
  • BPM 2.0 APQC Level 1 and 2 Process Models
  • BPEL Deployable Composition Web Services
  • UML Use Cases
  • UML Deployment Model
  • UML Class Metamodels
  • UML Sequence Models
  • Solution Security Reference Architecture
  • System Specifications
  • Business, Functional and Technical Requirements
  • Data Integration Architecture
  • Master Data Management
  • Federated Data Services

Project Statistics

  • 9 month Agile Scrum Implementation
  • 12 sprints/3 weeks each
  • Proof of Concept with 3 integration partners
  • 1 small 5-7 member Agile team

Technologies

  • Informatica Power Center
  • .NET 4.0
  • MVC 4.0 with Entity Framework
  • BizTalk 2012
  • Java
  • jQuery UI
  • Javascript
  • XML, XSD, XSLT
  • Microsoft Test Manager
  • SQL 2012
  • IIS 7.5
  • SOMF, SOAML
  • Hyper-V