An Interface using SOA Framework For Mediclaim Provider

TL;DR

This paper presents a Medical Insurance Claim Process Model implemented using Service Oriented Architecture (SOA) to enhance system flexibility, reduce complexity, and improve data consistency in the insurance industry.

Contribution

It demonstrates how SOA can be applied to medical claim processing, offering a scalable and adaptable framework for insurance systems.

Findings

Improved data consistency among services

Reduced system complexity

Potential for new insurance market innovations

Abstract

SOA brought new opportunities for the long expected agility, reuse and the adaptive capability of information technology to the ever changing business requirements and environments. The purpose of this paper is to describe the implementation of Medical Insurance Claim Process Model using SOA. We adopt Service Oriented Architecture (SOA) to reduce the complexity among systems and solve data consistency problems among services. We choose n-tier and Service-Oriented Architecture (SOA) as our system environment. This model can also establish a potentially new innovative market branch for the insurance industry.