Business Transaction Management (BTM) - Successfully Managing Health Insurance Applications Using BTM

Managing health insurance applications is something that can be made much more efficient when business transaction management (BTM) software is used. Using the capabilities of a BTM solution to make sure that all the applications within a health insurance IT environment are operating at peak performance is one of the best ways to boost the bottom line of any insurance company connected with the healthcare industry.

Business Transaction Management Means Efficient Management of Applications.

The management of health insurance applications is a critical component of the entire business operation. There are many issues that come with managing private health-related information such as privacy laws, government regulations and laws regarding the use of customer data. While dealing with these serious issues, the applications must also deal with the huge volume of insurance company transactions coming from applications such as electronic claims processing.

With BTM, the management of these issues becomes much more efficient. By efficient, we mean fewer IT outages, faster processing of claims and lower IT support costs.  In addition to these issues there is the “stealth waste” hidden in your business processes to consider.  For example, imagine agents not being able to work because last night’s batch cycle did not complete.  Removing this stealth waste and being more efficient, leads to substantial savings in business expenses, thereby cutting costs. This is a very important point as the cost of doing business in this market keeps rising due to numerous factors--government regulations, privacy and health record procedures, lawsuits, etc. As such, it is important to keep costs low while also meeting the challenges. How can this be done?

Business Transaction Management Offers Real Time Monitoring.

Real time monitoring of business transactions makes it possible to alert IT staff as problems begin to develop within the system and before they cascade into serious business impacting issues. This extra warning time can make all the difference to IT teams in terms of the response made and the damage avoided. 

Real time monitoring drastically reduces the chance of serious errors occurring, as small issues can be dealt with in a timely manner, as the IT team members are alerted to them before anyone else is. As such, small issues never escalate into serious system problems.

Business Transaction Management Consolidating Data

Inside the health insurance industry, there is a vast amount of patient data collected and this needs to be consolidated into an electronic medical record (EMR). For example both doctor’s office and hospital settings include patient visit details, dates the patient was admitted, transferred or discharged, lab results, vital signs, radiology reports and medication.

Having this data running and available twenty-four hours a day is vital. This requires a system able to handle large volumes of data in a timely manner without bottlenecks. Not only this, when data is consolidated visibility is essential to preventing the loss of data along the way. IT needs to be able to confirm that every transactions is getting to where it needs to be without problems. Again, this is monitored with a BTM solution.

Business Transaction Management Isolates and Identifies Problems.

Isolating and understanding problem areas is another crucial factor. There is a BTM solution from Nastel Technology called AutoPilot that isolates and understands problems very quickly. AutoPilot is a powerful solution for managing insurance transactions and helps reduce outages, performance slow-downs and business disruptions. This gives the system a more effective usage of support personnel.

AutoPilot BTM Solution Manages Scalability of Health Insurance Applications.

Being able to manage health insurance applications in an efficient, timely and professional manner is directly related to improving customer satisfaction, and therefore bottom line profits. If the company is currently a fast growing enterprise, it is likely to come across issues with scalability as the load on the application increases.

Nastel’s AutoPilot Business Transaction Management solution overcomes this very serious issue by improving business process execution. It finds the bottlenecks in the system, so IT can relieve them before they become a serious liability in the system. Predictive determination and prevention of problems using Complex Event Processing (CEP) are also part of the application, which makes the job of the IT team much easier and less stressful. For companies that are growing rapidly AutoPilot is also highly scalable via its PaaS virtual appliance version.