Reporting, Workflow and Rules Engine for Large Scale Healthcare Solution

Situation

• A provider of healthcare insurance products with solutions covering enrollment, risk adjustment, prescriptions, billing and revenue calculations

Challenge

• Large-scale, end-to-end customer implementations require elaborate frameworks and management of
  • Powerful Reporting
  • Flexible Workflow Engine
  • Customizable Rules Engine

REPORTING

Harbinger Solution

• Extensive reporting module with complex capabilities like sub-reports and cross-tabs and types, such as graphs, 3D Pie etc.
• Flexible reporting logic to reflect different business situations
• ‘Codeless’ reporting module that integrates with various reporting solutions, such as Crystal (BO), Jasper and others
• Support for export to all major file formats like XML, CSV, HTML with ability to add more
• Seamless integration with external JasperServer BI tool

Technologies & Tools

• Crystal (BO), Jasper Reports
• JReport, JFreeChart
• Jasper Server
• CAS - Enterprise SSO/SLO solution integrated with ACEGI / Spring Security
• Apache Http Components – cookie transfers

WORKFLOW ENGINE

Harbinger Solution

• Workflow engine with import / export of data from one step to another
• Pluggable design to add / remove execution steps such as:
  • SQLExecution
  • Bulk work item creation
  • Event generation and reporting of failure or success
• Clean exception handling, bulk processing, quick turnaround time and pluggable data formats between workflow steps

Technologies & Tools

• Spring Dependency Injection
• Annotations
• Apache Velocity
• Java and SQL-based API

RULES ENGINE

Harbinger Solution

• Configurable engine based on decision table implementation to support huge conditional models
• Use of techniques such as bulk execution, WeakHashMap and Serialization to have excellent performance and avoid recompilation

Technologies & Tools

• JBoss Drools Library

Benefits

• Company could implement, configure and customize the three engines for varying needs of its customers
• Users could add, modify and plug reports, rules and workflows seamlessly with minimal or no coding