Correctional Industries' Modernization

The Correctional Industries department of a US state suffered from various challenges in its Optical Lab, that offered prescription glasses. From having to use an outdated system, to paper-fax processes, to regulatory compliance

In Brief

SOlution overview

The flexible Optical Lab System, includes the following modules: provider portal for order and account management, integration with health plans to automate eligibility checks, electronic health industry claim billing, and lab work order lifecycle management

Built on a proven, open source Enterprise Resource Planning [ERP] system, a framework that enables information flow across the entire organization. This allows the user organization with maximum flexibility, by allowing for future expansion. Easy to integrate the system, without the costs associated with proprietary technologies and data formats.

Impactful Results

A seamless platform made the operation of the Optical Lab highly efficient, economical and responsive. All that, for or a fraction of the cost that they would've normally spent!

Challenges

A dated information system pulls down the performance of a large team, causing customer dissatisfaction, and affecting staff morale

Unsustainable or unsupportable legacy
system

High daily call volume of provider inquiries
Manual processes

Paper and fax ordering process

Patient plan eligibility look-ups

Review for incomplete/incorrect orders

Checks required to verify order is
compliant with regulations, catalog
and tolerances

Time-consuming or error-prone healthcare
claim billing process

Solution Capabilities

A high-traffic, high-impact operation called for a highly efficient system, that we designed and developed for them

Order portal:
• Order entry and status tracking
• Account and user management
• Dashboard activities and notices
Data exchange capabilities
• Patient verification and eligibility check
• Provider/patient information transfer
• Order and prescription (Rx) validation
Contract rules compliance
Electronic claim billing
Lab work order status tracking
Integration capabilities

Benefits

Electronic order entry, with immediate order acceptance

Automatic patient eligibility verification

Patient/provider data populated from state health system

Automatic claim billing and elimination of errors

Reduced customer service inquiries

Seamless integration with partner agencies

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