Technology

Leading Through Innovation

testClaims editing technology has been long constrained by the business model of yesterday’s products. This model placed an emphasis on closed integrations with claims systems using proprietary technologies and long-term client contracts. The result of these business practices is predictable: technology that is hard to implement, harder to update, inflexible, expensive and ineffectual. Further, dominance by the incumbent vendors led to stagnation in product development and enhancement.

Against this backdrop, Bloodhound set out to create a different kind of editing system. ASP-based and infinitely customizable; flexible across transaction systems and throughout the claims process; able to process claims in real-time or batch modes; easily updated to ensure edits are current; and with the most advanced analytics available in the industry.

The technical foundation for Bloodhound’s ClaimsGuard™ service rests on the decision to build our service to be agile and open and at the same time secure.  At Bloodhound, open means a system that uses Service Oriented Architecture for flexible integration and interoperability.  And agile means a system that is cognizant of the need for constant change and able to work with disparate applications without compromising speed of response or quality.

Highlights

  • Ability to process data in sub sub-second real time or batch mode across total patient history in an ASP model
  • A Service Oriented Architecture (SOA) approach allows customers to benefit from an industry standard set of protocols that easily integrate into their existing technologies
  • An Enterprise Service Bus with an attached ETL/DTS engine as the messaging technology permits ClaimsGuard to accept client data in any recognized format
  • Web Services (SOAP) for easy, seamless connectivity with disparate systems
  • A multi-tiered network load balanced across multiple servers that ensures scalability while increasing redundancy as capacity is added

Security Highlights

  • Authentication services administered through a Single Sign On (SSO) paradigm
  • Internal architecture leverages industry standard protocols such as Secure Socket Layer (SSL), Secure Shell (SSH) and Secure FTP (SFTP)
  • Certificate based 128-bit SSL encryption to ensure information security
  • Layered security architecture to completely isolate clients from each other