Quality Engineering Services for Health Insurance

BROCHURE In the modern era where superior customer experience emerging Technologies, to enable our clients achieve is the new norm, organisations need a comprehensive real-world business impact. Our Engineering strategy to deliver assurance in alignment with Service Line (QESL) operates with a charter to provide their business goals. With the customer demand for best practices, tools, creation of IPs and accelerators, reliable delivery of a product, application and services, and be the service delivery owner with complete healthcare enterprises are gradually adopting the accountability for all elements in the testing services new trend of Quality Engineering Testing Services. value chain. We have structured Quality Engineering The value that testing services brings to the table can Service Line (QESL) to deliver customer experience make a world of difference and close the gap between (CX) powered test and quality engineering (QE) expectation and delivery. Quality Engineering Testing services, with a focus on improving quality of services Services are extremely crucial to Health Insurance for our clients. We have a comprehensive portfolio of Industry in addressing and managing Customer capabilities and services involving testing and quality Service, Claims Processing and Care Management to engineering. Given below is a bird’s eye view of our name some key areas. customer experience (CX) powered test and quality engineering (QE) services. Our Approach

Coforge is a Quality Engineering leader with unparalleled domain expertise, working at the intersection of

1. Integrated lifecycle automation enables and Delivery Process, Automation Engineering, Unified accelerates delivery of testing services in Agile/ Test Delivery Platform for CI and Reporting, DevOps, including Continuous Integration and Cognitive Testing using AI/ML techniques and Deployment Automation, ATDD, TDD, BDD based DevOps integrated test automation.

2 2. Technology assurance enhances customer 5. Test advisory and consulting harnesses above experience and product quality, including Technology four offerings in testing services, which includes Migration , Cloud Migration, Test Management and Consulting, Strategic QA Mobility Testing, Performance Engineering, Consulting, Test Process Reviews, Test Process BI Testing, Big Data Testing, Crowd Sourcing, Optimization, Federated Test Center of Excellence, Accessibility, Localization and Internationalization QA Transformation Consultancy, Dynamics 365 and Microsoft Dynamics 365 QA. Quality Consultancy, ALM Implementation and Tools Testing. 3. Continuous quality engineering infuses quality beyond SDLC and enable collaboration and Coforge has sensed the paradigm shift in Healthcare integration, including Quality Intelligence, Cyber Payers attention to the Quality engineering Services. We Security, End to End Integration QA Offering, QA focus on providing payers an end to end Test and Quality Lab Management, Shift Left/Right and Spherical Engineering Service at speed for enhanced Customer QA strategies and One Team Connected approach experience. Our comprehensive portfolio of testing and - Business, Development, Operations, Release quality engineering capabilities and services covers management, Customers and Strategic partners. Test Planning, Business testing, Specialized Testing, Database Testing, EDI/HL7 testing and Non Functional 4. Workforce transformation ensures availability of testing(Performance Testing) activities for Waterfall, quality engineers and user advocates. It enables Agile and DevOps SDLC models. The figure below is our up-skill and cross –skill of functional testers to approach for the Payer Life Cycle Testing. techno-functional specialists/development type testers and transform testing SME’s to User advocates to provide holistic testing.

Referral Provider Customer Service Claims Processing Member Services Care management Authorization Onboarding PAYER BUSINESS FUNCTIONAL FUNCTIONAL FUNCTIONAL FUNCITONAL FUNCTIONAL FUNCTIONAL FUNCTIONAL FUNCTIONAL TESTING TESTING TESTING TESTING TESTING TESTING TESTING TESTING

INTEGRATION TESTING

END-TO-END TESTING / BUSINESS PROCESS TESTING

DATABASE TESTING

EDI / HL7 TESTING

NON FUNCTIONAL TESTING (PERFORMANCE TESTING)

TOOL BASED TEST MANAGEMENT REGRESSION TESTING

COFORGE EXPERTISE COFORGE ACCELERATORS COFORGE OFFERINGS Program Management

Domain

Process Tools

3 Coforge’ Advantage processes, underlying forecasting, fulfilment, and management of resources guarantee that we provide Coforge, with our 20+ years of deep industry knowledge, qualified techno domain quality engineering candidates experience and core expertise in Quality engineering, to clients’ testing services teams. can provide End-to-End Test and Quality Engineering Services at Speed for Enhanced Customer Experience For many clients, Coforge started with standard testing to Healthcare Insurance Companies. services (functional, integration, system, regression, and domain-based) and nurtured the relationship(s) Our Quality engineering practice comprises over 3100+ into large Testing CoE engagements, with ownership techno domain quality engineers and 50+ marquee of assured reliability, stability, and efficiency for clients across industries. As a niche quality engineering technology-led applications. This has led to the services provider, Coforge specializes in testing for following industry accreditations and awards related to Payers, TPAs, Product Vendors, Providers and Life quality assurance and engineering. sciences entities. Our robust Demand Management and globally recognized Training & Development

QAI Published testing thought leadership papers

Insurance 1 2 3 4 Coforge Conferred With Partner Of The Accelerate All-Inclusive Testing Testing In Agile & Addressing Test Data Testing Year For Quality By Leading in API Management DevOps Through Coverage in Imperatives In Digital Supplemental Insurance Company in US and Cloud Services Smart Test Data Continuous Testing World Management

5 6 7 8 FY’20: Named a Leader among Continuous FY’20: Recognized as a ‘Leader’ for An Approach for midsize agile software development Leveraging AI in Business-led Next Automated Chatbot Agile and DevOps API Performance service providers Gen Automation testing by NelsonHall NEAT Report Testing by Forrester Research

FY’19: Recognized as the only ‘Star 9 10 Performer’ amongst ‘Major FY’20: Ranked #1 in 'Business UI Performance Contenders’ for Insurance Need of Jailbreaking Understanding' in 'Whitelane's 2019 Optimization by UK IT Sourcing Study' Application Services in iOS Pen Testing Identifying its on the 2018 Everest Group PEAK bottlenecks Matrix™

Our experience in quality engineering engagements Member Life Cycle process, ID Card generation, for Insurance Payers includes: Letter Generation, Customer Service components (Bots), workflow integration and automation • Testing of Claims applications: End to end testing of solutions and all the key features of the Quote to Claims intake processes, Testing of First Pass and Card process. auto adjudication features, Claims Payment and Remittance Advise, Vendor Claims Interfaces and • We have built and tested Supplementary benefits Claims warehouse and Reporting. Scope of testing solutions to large Insurance payers that offer also includes Core Applications, EDI Transactions, supplementary health insurance benefits. Data Pega, UIPath, FileNet based workflow integration quality review, Database Testing, end to end and Run time bots driven process automation Application and services testing were addressed components. with large Insurance companies that are taking newer products to the market in this space. • Testing Quote to Card Enrollment process covering Enrollment Intake for New and Existing members,

4 For more information, contact [email protected] © 2020 Coforge. All rights reserved. Coforge is a leading global IT solutions organization, enabling its clients to transform at the intersect of unparalleled domain expertise and emerging technologies to achieve real-world business impact. A focus on very select industries, a detailed understanding of the underlying processes of those industries and partnerships with leading platforms provides us a distinct vantage. We leverage AI, Cloud and Insight driven technologies, allied with our industry expertise, to transform client businesses into intelligent, high growth enterprises. Today our proprietary platforms power critical business processes across the Financial Services and Travel industries. Our 11,000 technology and process consultants engineer, design, consult, operate and modernize systems across the world. Learn more about Coforge at: www.coforgetech.com

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