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Claims Management System

The document describes a claims management system for a healthcare organization that exposes core claims logic as microservices hosted on the cloud. The system includes a member portal microservice that consumes other microservices for claims authorization, member data, claims data, and policy data. It uses technologies like Angular, Spring Boot, AWS, Docker, and code quality tools. The architecture includes database schema, service diagrams, and deployment pipelines for continuous integration and delivery to the cloud.

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jap dewhyu
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109 views31 pages

Claims Management System

The document describes a claims management system for a healthcare organization that exposes core claims logic as microservices hosted on the cloud. The system includes a member portal microservice that consumes other microservices for claims authorization, member data, claims data, and policy data. It uses technologies like Angular, Spring Boot, AWS, Docker, and code quality tools. The architecture includes database schema, service diagrams, and deployment pipelines for continuous integration and delivery to the cloud.

Uploaded by

jap dewhyu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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CLAIMS

MANAGEME
NT SYSTEM
TABLE OF CONTENTS
ARCHITECTUR
Problem OVERVIEW FEATURES E
STATEMENT

01 02 03 04

05 06
A CLOSER
TECHNOLOGY LOOK
OUR TEAM

ANSH GUPTA

APOORVA S
MENON
AAYUSH BANGROO

ANKIT LNU
01

PROBLEM
STATEMENT
PROBLEM STATEMENT

A leading HealthCare Management Organization wants to strengthen its


middleware by exposing the core logic related to Claims Management as
Microservices.

The middleware Microservices are to be hosted on Cloud.

Member Portal to be developed that consumes these Microservices and


responds back to members who are in need of Claim related information.
02

OVERVIEW
LIST OF MICROSERVICES

1) MEMBER PORTAL

2) AUTHORIZATION MICROSERVICE

3) MEMBER MICROSERVICE

4) CLAIMS MICROSERVICE

5) POLICY MICROSERVICE
03

FEATURES
FEATURES
The user can insert the claim details like :
SubMIT Claim
1. ID
2. Hospital Name
3. Claim Amount
A claim ID will be generated corresponding to the submitted claim.

CHECK StATus The user can check the status of a particular claim with the given claim ID.
For instance, Claim is pending as more documents are needed for
verification.

View bills The User can see if he/she has any pending bills along with the last
premium paid date and late charges
04

ARCHITECT
URE
ARCHITECTURE/FLOW
DIAGRAM
DataBase SCHEMA

“Venus has a
beautiful name
and is the second
planet

from the Sun. It’s


Helena Jenna doe
terribly hot”
james
MEMBER PORTAL
AUTH MODULE
MEMBER MODULE
CLAIMS MODULE
POLICY MODULE
05

TECHNOLOG
Y
TECHNOLOGY/FRAMEWORKS
USED
FRONTEND BACKEND
Angular Spring MVC with Spring Boot

Spring Data JPA, H2 In Memory DB

TESTING

jUnit 4/jUnit 5

Mockito
DEVOPS & ANCILLARY
CLOUD
Maven
Docker
AWS CI/CD Lombok
AWS ECS
AWS S3
CODE
QUALITY
SonarQube

SonarLint
07

A CLOSER
LOOK
Angular app hosted on S3
BUCKET
CLOUD DEPLOYMENT -
CLUSTER(SERVICES)
CLOUD DEPLOYMENT -
CLUSTER(TASKS)
CODE QUALITY USING
SONARQUBE
CODE QUALITY USING
SONARQUBE
CODE QUALITY USING
SONARQUBE
CLOUD DEPLOYMENT - AUTH
PIPELINE
CLOUD DEPLOYMENT -
POLICY PIPELINE
THANK
YOU!

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