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How Azure enabled a rapidly growing firm to keep up with new demands while remaining compliant for handling medical data

SphereGen Case Study
ActualMeds

Client provides medical reconciliation to healthcare insurance companies/payors.

actualmeds logo
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How Azure
enabled a rapidly growing firm to keep up with new demands while remaining compliant for handling medical data

SphereGen Case Study
ActualMeds

Client provides medical reconciliation to healthcare insurance companies/payors.

actualmeds logo

O V E R V I E W

The firm was growing substantially, and the system infrastructure needed to keep up with the new demands while remaining compliant for HIPAA and Hi-Trust.

Challenges

  • Maintaining medical data compliance while taking on new customers with different EMR/Claims Processing systems and integration points
  • Scalability
  • System Integration with Multiple Health Care systems
  • System Design which accounts for all of the above issues but remains functional and not overly complex to maintain

SOLUTION

Medical software compliances not only rely on securing data but also involve implementing and standardizing policies and processes concerning that data. To address security issues related to the transmission of data and data at rest, SphereGen implemented a secure double encryption process running over Azure Cloud Services. Transactions are logged and documented providing an easy-to-follow audit trail.

Azure offers a highly secure environment and reduces needed hardware investment by providing a pay-as-you-go model. The ability to easily increase/decrease processing utilization and storage capability solved the scalability issues.

To address System Integration challenges with other Health Care systems SphereGen implemented C-CDA document transfer using FHIR and built a custom application with a suite of oversight tools. These tools allow the client to better assess and manipulate data from various PBM’s and EHR’s. The application uses 16 different classifications and standards of risks to assess and manage potential violations. The leadership team now has the transparency, automation and oversight needed to run their business without burdening them with time-consuming repetitive tasks.

THE DETAILS​

IMPACT

Ability to pass compliance audits with confidence. Ease in integrating data from and to multiple healthcare platforms.
“Thanks to SphereGen for your support in providing for our clients in the diligence process. The talented SphereGen team has been an essential part in developing and supporting our business. It continues to be an honor, privilege, and pleasure to work with SphereGen.”

– Anne Marie Biernacki, ActualMeds

PLATFORM + SKILLS

Platform

  • Azure

Skills

  • ASP.net MVC Architecture
  • JQRY
  • MS SQL
  • Azure MS Server
View and download this case study here

WE ASSIST
SMALL + MEDIUM
SIZED BUSINESSES

As a privately-held small business, we understand the goals, needs, and challenges of organizations your size. SphereGen leverages 10+ years of experience to find the ‘best technology fit’ for clients whether you build, buy or customize software and services.