smartData portfolio projects

Patient Advocacy Telehealth
Project Overview: Patient Advocacy Telehealth

The platform aims to bridge critical gaps in the U.S. healthcare system by empowering patients and caregivers with the tools they need to self-advocate, prepare for short physician visits, and coordinate care effectively. It provides an affordable alternative to costly concierge medicine while ensuring patients feel supported, informed, and confident in their health journey.

It is an advocacy-based membership telehealth platform that provides patients and caregivers with trusted education, preparation tools, and access to physician advocates. It helps users save and organize questions ahead of their appointments and use them during secure telehealth consults, making limited physician time more effective.

Features:

For Patients

·  Membership & Onboarding – Join the platform, choose a plan, and set up your profile.

·  Health Education – Access reliable, easy-to-understand articles and videos.

·  Question Collections – Save and organize questions to prepare for doctor visits.

·  Telehealth Consults – Book secure appointments with physician advocates.

·  Secure Messaging – Chat safely with assigned physicians, share files if needed.

·  Reminders & Notifications – Get alerts for new content, upcoming consults, and surveys.

·  Profile & Subscription Management – Manage personal details, track consult credits, and update your plan.

 

For Physicians

  • Consult Dashboard – View and manage upcoming and past consultations.
  • Prep Access – Review patient questions, health history, and notes before sessions.
  • During Consult – Join secure video calls, record outcomes, share documents.
  • Secure Messaging – Communicate with patients through HIPAA-compliant chat.
  • Performance Insights – Track consults, follow-ups, and patient satisfaction scores.
Family Health Hub
Project Overview: Family Health Hub

To design and develop a secure, user-friendly digital healthcare platform (Family Health Hub) that enables patients and families to book doctor appointments online, connect with independent healthcare providers and vendors, and access telehealth messaging and wellness services.

The platform aims to:

    • Provide a centralized appointment scheduling system with role-based access for patients, providers, and business managers.
    • Ensure HIPAA, PHIPA, and PIPEDA compliance for handling sensitive health data.
    • Offer seamless communication between patients and providers through secure email and notifications.
    • Deliver an SEO-optimized, accessible web portal with structured healthcare information and provider directories.

Features:

  • Online Appointment Booking – Patients can schedule consultations with doctors/specialists.
  • Provider Directory – Browse and choose healthcare providers or wellness vendors.
  • Role-Based Access Control (RBAC) – Different dashboards/permissions for patients, providers, and business managers.
  • Appointment Workflow Guidance – Step-by-step process (Select care → Choose doctor → Book appointment → Meet doctor).
  • Vendor/Provider Onboarding – Vendors must have valid licenses and agree to compliance terms.
Cycle Tracking App
Project Overview: Cycle Tracking App

AI-powered, cross-platform mobile application is designed to empower women through personalized health insights, cycle tracking, and holistic self-care tools. Built for individuals and families looking to better understand and manage menstrual health, mood, and lifestyle factors, the system delivers a unified experience that combines tracking, analysis, community support, and privacy-first data sharing.

It automates and personalizes the full spectrum of women’s wellness — from guided onboarding and cycle prediction to mood, symptom, and lifestyle logging, private journaling, partner/family sharing, and subscription-based premium services. The platform incorporates innovations such as AI-based recommendations, predictive alerts, granular permission controls, and Google/iCal synchronization, offering a seamless and secure environment for users to track their health and connect with trusted support networks.

Features:

  • Guided Onboarding Flow
  • Personalized Dashboard with next period prediction, AI tips, and quick actions
  • Cycle Calendar View (color-coded monthly cycle with Google/iCal sync)
  • Mood, Symptom & Lifestyle Tracker (mood, cramps, acne, hydration, stress, sleep)
  • Private Journal with guided prompts and mood graph overlays
  • Community Forum with anonymous posting, image attachments, filters, and flag/report moderation
  • Smart Alerts
  • Subscription Plan Flow
  • Partner & Friends Sharing with granular permissions (mother–daughter privacy controls)
  • Invite System for partner, family, friends, or child
Premier Sleep App
Project Overview: Premier Sleep App

An AI-first sleep improvement app that combines advanced algorithms with IoT devices to address issues like insomnia, early waking, and disrupted sleep.
AI models analyze sound detection (snoring, sleep talking, ambient noise) and a 2-week sleep diary to provide personalized insights, dream analysis, and tailored recommendations.
IoT integration with smart masks and wearables (Apple/Android watches) tracks SpO? in real time, triggering vibration alerts to prevent oxygen drops and support early OSA intervention.
Users can connect with sleep experts via AI-enabled chat, audio, and video, while providers manage appointments and communications through a dedicated web interface.
The platform follows a subscription model with free and premium tiers, enabling sleep diagnostic centers to deliver AI-driven insights, IoT monitoring, and expert support for better sleep health.

Features:

  • User Authentication & Onboarding – Signup/login via email, Google, or Apple; introductory screens guide users through app features.
  • Sleep Questionnaires – Collects user data on sleep disorders (Epworth, Stop Bang, Parasomnia, Insomnia, Narcolepsy, Circadian).
  • Sleep Tracking – Pre-sleep questionnaire, track sleep sessions with white noise, monitor patterns, and save session data.
  • Wearable Integration – Connects with Apple/Android watches; monitors SpO?; alerts users via vibration if oxygen drops below threshold.
  • Smart Mask Integration – Detects snoring, delivers positional therapy, and EPAP support; syncs intervention data with app for review.
  • Sleep Recorder – Records sleep sounds, integrates with meditation or white noise playback.
  • Soundscapes & White Noise Player – Library of calming sounds with play, pause, and background functionality.
  • Telehealth Module – Chat, audio, and video calls with sleep experts; users can book appointments.
  • Scheduling System – Users request consultations; admins assign experts; manages pending/ongoing requests.
  • 2-Week Sleep Diary – Logs bedtime, wake-up, sleep duration, awakenings, naps, medication/alcohol intake, and morning fatigue.
  • Sleep Analysis Dashboard – Visualizes sleep statistics and patterns; provides daily, weekly, and monthly insights.
  • Wake-Up Alarm – Set alarms, toggle snooze options, and wake during light sleep within a flexible range.
  • Relaxation Techniques & Guided Meditations – Personalized AI-driven meditation and relaxation recommendations.
  • Dream Meaning & Sleep Articles – Access curated content on dreams and sleep improvement.
  • Web-Based Provider Interface – Secure login for experts; dashboard for patient assignments, appointments, and session management.
  • Patient Management (Provider) – Access sleep history, diary data, and add session notes.
The Whole Journal
Project Overview: The Whole Journal

AI-powered, cross-platform comprehensive mental wellness platform bridging the gap between personal reflection and professional guidance.

The platform combines traditional journaling with modern tools like AI visuals, music integration, and multimedia uploads, while also enabling secure collaboration with therapists. The app capture inner experiences, give them visual and emotional context, and create a safe space for therapist feedback and peer support — ultimately redefining digital mental health care

Features:

  • Guided Onboarding Flow
  • Personalized Dashboard with saved entries and boards.
  • Mood Board style Navigation
  • Freeform Journaling with Typing text, handwriting/sketch (Apple Pencil on iPad)
  • AI Image generation
  • Attach Music links
  • Client invites therapist via secure link
  • Therapist views boards, leaves comments
HSM AI Estimation Tool
Project Overview: HSM AI Estimation Tool

This project is an AI/ML-powered data extraction tool designed to automate the pre-construction estimation process, specifically for doors in architectural projects. The tool efficiently extracts door-related data from various architectural documents, including Floor Plans, Enlarged Plans, Door Schedules, Elevations, and Hardware Specification Documents.

Features:

The tool's functionality is divided into several key areas:

  1. AI & Data Extraction
  • Rule-based Data Extraction: Extracts over 25 door-related parameters (Qty, Leaf Count, Door Type, etc.) using a rule-based system.
  • Contextual Logic: Identifies repeated units, matchlines, and jamb/frame dimensions by applying contextual logic.
  • OCR Integration: Utilizes Optical Character Recognition (OCR) for three main purposes:
    • Identifying door numbers.
    • Identifying rooms relative to detected doors.
    • Measuring door dimensions from designs for the final takeoff document.
  • Simultaneous Processing: Processes specification documents in the background while users review data extracted from plans and schedules.
  1. Document Management & Integration
  • Auto-classification: Automatically classifies project documents from cloud storage.
  • API Integration: Connects with platforms like Dropbox, SharePoint, Grexo, and Egnyte to extract and process documents from project-specific folders.
  • Document Identification: Detects and classifies various document types (plans, schedules, specifications).
  • Smart Overlay: Intelligently overlays enlarged and dimensional plans over floor plans.
  1. User Interface & Output
  • Two-Pane UI: A user-friendly interface similar to Bluebeam, featuring a visual plan viewer and an editable data table.
  • Excel Output: Generates a standardized, editable Excel file with highlights for inconsistencies or assumptions.
  • AI Search: Provides an AI-powered search and navigation for traceability, allowing users to quickly find relevant information.
  • Post-verification Export: Exports verified door takeoffs and hardware sets.
  1. User & Administrative Features
  • Admin Panel: Includes administrative features for document management, dataset and model insights, and user management with role-based access (2-3 user roles).
    • User Interface & Review: Features like a two-pane view, hyperlinked entries, editable previews, and navigation support for multi-source references improve the user experience.
NDIS CRM
Project Overview: NDIS CRM

Crystel Care is a registered NDIS service provider in Australia, dedicated to supporting children and young people with disabilities through therapies, family support, and care coordination. (Occupational Therapy, Speech Therapy, Psychology, Physiotherapy, Counselling, and Behaviour Support)
We are developing a complete NDIS-compliant CRM platform that streamlines client onboarding, service agreements, therapist workflows, case notes, billing, invoicing, payroll, and reporting. The system also integrates with Xero for accounting and SharePoint for document compliance, while ensuring all data is securely hosted in Australia. 
This solution empowers Crystel Care to deliver services more efficiently, reduce errors in billing, and maintain full compliance with evolving NDIS rules.

Features:

1.    User Roles & Permissions: Role-based access for Therapists, Lead Therapists, and Admins.
2.    Client Management: Multi-tenant support, structured client files, onboarding with NDIS plan details, and status management.
3.    Therapist Management: Onboarding of therapists, discipline-based role assignment (e.g., OT, Speech and etc.), workload visibility, and client-therapist mapping with service-level access control.
4.    Service Agreements: Setup of budgets (annual/quarterly), services, start-end dates, and linkage to NDIS funding categories.
5.    Service Codes Assignment: Internal plain-English codes mapped to NDIS billing codes with configurable rates (therapy, travel, cancellation).
6.    Therapist Workflow: Calendar scheduling, case notes entry, and automatic billing tied to service agreements.
7.    Case Notes & AI Support: Standardised templates, keyword search, and AI-powered summarisation for efficiency and compliance.
8.    Calendar & Task Management: Appointment scheduling, reminders, recurring sessions, and sync with external calendars (Google, Outlook).
9.    Invoicing & Xero Integration: Unified billing workflow, batch invoicing, mapping of revenue codes, and entity-level Xero connections.

10.    Payroll & Reporting: Automated KPI tracking, leave adjustments, exportable/custom reports.
11.    Document Management: SharePoint integration for secure, compliant storage by entity.
 

Zoho Doc
Project Overview: Zoho Doc

This project was developed for a care and legal services provider to streamline operations through a GDPR-compliant digital system. It includes a Legal Representative Portal (EV Portal) for secure client management, an intelligent Route & Assignment Planning module to automate staff scheduling and routing, and a Billing system that applies client-specific rates and generates structured invoices. Together, these solutions replace manual processes with automation, ensuring compliance, transparency, and operational efficiency.

Features:

  • EV Portal (Legal Representative Portal): Secure login for legal representatives to manage client details, documents, and invoices in a GDPR-compliant environment.
  • Route & Assignment Planning: Automated scheduling and route optimization for staff, reducing manual effort and improving efficiency.
  • Billing Management: Client-specific rate handling, automatic calculation, and generation of structured invoices.
  • Document Management: Centralized storage and easy retrieval of legal, medical, and service-related documents.
  • Compliance & Security: GDPR-compliant data handling, role-based access, and transparent audit trails.
Innoid Healthcare Data Warehouse & Analytics
Project Overview: Innoid Healthcare Data Warehouse & Analytics

The goal of Innoid is to create a centralized, HIPAA-compliant healthcare data warehouse that unifies clinical and operational data from multiple systems. The platform standardizes structured, semi-structured, and unstructured inputs into a single repository, enabling advanced analytics, business intelligence, and AI-powered insights. It directly tackles the challenge of disconnected healthcare data sources, giving organizations the ability to make faster, evidence-based decisions.

Features:

Academic & Public Health Mapping for OB/GYN Access
Project Overview: Academic & Public Health Mapping for OB/GYN Access

This project focused on creating mapping reports to highlight geographic and linguistic disparities in OB/GYN service availability across Kansas. The objective was to provide visual evidence for healthcare researchers and policymakers to better understand provider distribution, identify underserved regions, and highlight language access barriers for Hispanic populations. The deliverables included static maps of provider clusters, Spanish-speaking access segmentation, and a custom symbolic visual to humanize the access challenge. 

Features:

  • County-level clustering of OB/GYN providers using verified datasets
  • Visualization of Spanish-speaking provider availability to illustrate linguistic barriers
  • Custom symbolic visual (faceless Hispanic woman) to depict human access challenges
  • High-resolution, publication-ready maps for academic and policy reports
  • Consistent design for comparative academic use
Trading Wellness app
Project Overview: Trading Wellness app

Mobile first wellness and trading support application designed to help users achieve emotional balance, track physiological health, and correlate their mental state with trading performance. By blending biometric insights, mindfulness, and trading analytics, the app empowers users to make more rational and confident trading decisions. 
 

Features:

  1. Onboarding & Subscription 

  1. Device Integration 

  • Apple HealthKit sync 

  • Polar H10 and 360 heart rate monitor integration 

  1. Core Wellness Features 

  • Manual input screens (mood, sleep quality, energy levels) 

  • Calm Score calculation & visualization 

  • HR, HRV, and sleep analytics 

  • Guided breathing exercises 

  1. Trading & Performance 

  • CSV import of trading history 

  • Trading analytics dashboard (profit/loss, decision timing, stress correlation) 

  • Combined calm-trade insights 

  1. Engagement & Retention 

  • Calendar view for historical data 

  • Push notifications for reminders and insights 

  1. Cloud & Security 

  • Firebase Firestore for secure data handling 

  • AWS S3 for file and trading CSV storage 

Home Testing
Project Overview: Home Testing

A healthcare and diagnostics platform that enables women to access at-home diagnostic kits, lab processing, and teleconsultations with doctors. The platform provides a complete ecosystem covering kit distribution, lab workflows, doctor consultations, payments, and customer engagement 

The solution is designed with multi-country support, role-based dashboards (Admin, Doctor, Lab, Customer), referral/commission modules, and financial tracking. 

Features:

Customer  

  • Kit purchase, registration, and order tracking 

  • Schedule lab pickups & track progress 

  • View/download test results with multi-language support (English/Arabic) 

  • Book teleconsultations at discounted rates (if test positive) 

  • Video/Chat consultations with doctors 

  • WhatsApp chat & notifications for orders, results, and appointments 

 

Lab  

  • Secure login for lab admins 

  • Manage kit reception & assign tests to technicians 

  • Enter results, upload reports, sync with patient profile 

  • Track financials: commissions, refunds, payment history 

 

Doctor  

  • Set availability and specializations 

  • Manage appointment requests (accept/reject) 

  • Conduct secure teleconsultations (video + chat) 

  • Access patient test results & profiles 

 
Referral & Commission  

  • Partners generate referral links & track conversions 

  • Automatic commission tracking & withdrawal requests 

  • Supports multi-platform sharing for referral growth 

Sonic Voice – Restaurant Calling Agent
Project Overview: Sonic Voice – Restaurant Calling Agent

An AI phone agent for restaurants, designed to automate and enhance customer interactions over the phone. It handles orders, reservations, FAQs, and customer queries while seamlessly integrating with POS systems. With the ability to manage unlimited simultaneous calls, upsell intelligently, and provide real-time analytics, it reduces missed opportunities and improves customer satisfaction.

Features:

  • Order Handling & Reservations – Takes pickup/delivery orders, manages reservations, answers FAQs, and syncs with restaurant POS systems.
  • POS Integrations – Works with SuperMenu POS
  • Simultaneous Call Management – Eliminates hold times by handling multiple calls at once.
  • Smart Upselling & Custom Prompts – Suggests add-ons and combos based on rules to increase average ticket size.
  • Management Dashboard – Live call transcripts, outcomes, business hours/specials updates, and analytics on call volume and peak times.
  • Rapid Setup & Scalability – Menu import, greetings, and testing in <24 hours; supports multi-location routing.
AXIGO Windshield Repair Marketplace Platform
Project Overview: AXIGO Windshield Repair Marketplace Platform

AxiGo Auto Glass is a two-sided mobile marketplace designed to connect car owners needing windshield repair or replacement with certified local installers. The goal was to digitize a fragmented, offline industry and deliver a smooth, trusted experience covering job booking, quoting, secure payments, and post-job reviews.

Features:

  • Customer App: VIN scanning/manual entry, job booking, quote comparison, secure escrow payments (Stripe), in-app chat with media/location sharing, rating & review system, tipping, and job summary PDF.
  • Installer App: Tier-based onboarding with license/insurance verification, ADAS gating, job dashboard, itemized quote submissions, waiver acknowledgments, earnings tracking, referral rewards, and public profiles.
  • Admin Panel: User approvals, real-time job monitoring, dispute resolution, commission tracking, chat moderation, and detailed analytics.
  • Edge Case Handling: Re-quotes, no-shows, failed payments, coverage radius checks, and VIN scan fallback flows.
HiveRobots
Project Overview: HiveRobots

HiveRobot is a SaaS-based platform revolutionizing the cleaning industry by providing automated, subscription-based cleaning solutions for offices, floors, and commercial spaces. Clients subscribe to the service and cleaning robots are assigned to handle routine cleaning tasks, ensuring consistent quality and reliable results every day.
 

Features:

1.    Centralized Dashboard: Real-time visibility into all cleaning operations across multiple locations with robot status, schedules, and analytics.
2.    Automated Scheduling: Task automation engine assigns and optimizes cleaning routes based on business hours, foot traffic and cleaning intensity.
3.    Real-Time Robot Tracking: Displays live status for each robot cleaning, charging, idle with task progress, location and health diagnostics.
4.    Dynamic Task Allocation: Automatically adjusts cleaning schedules and zones based on historical usage patterns or blocked paths.
5.    Robot Health Monitoring: Monitors battery levels, connectivity issues, and cleaning performance with proactive maintenance alerts.
6.    Service Reports & Logs: Generates cleaning history, task completion reports, and incident summaries exportable in multiple formats.
7.    Subscription & Billing Engine: Manages client subscriptions with monthly/annual plans, usage-based billing, and add-on services.
8.    Client Portal: Enables customers to manage locations, update plans, pause service, and download invoices.
9.    Multitenant Admin Panel: Super admin tools for onboarding new clients, managing robots, tracking service KPIs and generating reports.

AI Fashion Styling App
Project Overview: AI Fashion Styling App

An AI-first, Gen Z–oriented fashion styling app enabling users to upload wardrobe items, receive personalized outfit suggestions using AI, and engage socially via outfit polls and feeds. The solution leverages Firebase’s scalable cloud backend and integrates OpenAI for prompt-based outfit generation. Users can manage a virtual closet, receive AI alerts on missing wardrobe items, and interact with a community through polls and comments. It also includes an admin panel for moderation, analytics, and subscription management. Monetization is driven through subscription tiers and integrated ads. The product is designed as a progressive MVP with clearly defined “must-have” and “nice-to-have” features to facilitate phased rollout. Post-launch, the client aims to validate market fit and scale with affiliate shopping and influencer integrations.

Features:

  1. User Registration & Profile Management – Firebase Auth, style tagging, profile edits
  2. Closet Upload & Management – Camera/gallery uploads, category tagging, AI-ready wardrobe setup
  3. AI Outfit Generation – Prompt-based outfit suggestions using OpenAI API (event, mood, weather)
  4. Outfit Voting & Polling – In-app polls with comments and real-time results
  5. Social Feed – Public feed of outfit polls and results with comment/like support
  6. Closet Intelligence – “What’s Missing in Your Closet” AI alerts
  7. Notifications – Poll updates, outfit suggestions, comment alerts via FCM
  8. Subscription Module – Monthly/annual plans with in-app payment gateway
  9. In-App Ads Integration – Google AdMob and Apple Ads for monetization
  10. Admin Panel – User management, content moderation, analytics, and subscription control
Smart Factory Operations Platform
Project Overview: Smart Factory Operations Platform

FOA is a modular AI-powered smart factory management platform designed to digitize and streamline maintenance operations, production monitoring, and resource planning for manufacturing units. It helps facilities reduce downtime, optimize costs, and enhance productivity through real-time analytics, automation, and predictive maintenance powered by AI and IoT integrations.

Features:

Phase 1 Core Modules:

APP & SYS:

  • Super Admin & Tenant Admin Role Setup
  • Configurable User & Role Management
  • Language Localization Settings

CMMS (Computerized Maintenance Management):

  • Service Request Portal
  • Work Order Management
  • Labor & Resource Tracking
  • Preventive & Corrective Maintenance
  • AI-Powered Predictive Maintenance
  • Scheduling, Dispatch & Technician Assignment
  • Inventory & Spare Parts Management
  • Vendor & Contract Management
  • Asset Lifecycle Management
  • Budgeting & Cost Tracking
  • Document Storage & Alerts
  • Facility Booking & Space Mgmt

Dashboards:

  • CMMS Dashboards
  • Historical Analytics for Maintenance KPIs

Productivity & UI:

  • Gamification Layer for Task Productivity
  • Offline-First Mobile App (Technician/Operator)

 

Admin Key Features:

  • Role & Plant-Level Permissions
  • Asset QR Code Setup & Access
  • Notification Configuration (Email, SMS, WhatsApp)
  • Preventive Maintenance Rules Builder
  • Document Manager with Access Control
  • Insights & Trends Report Builder (AI Enabled)
  • Facility & Vendor Management Tools
Medication Reconciliation Epic Integration Platform
Project Overview: Medication Reconciliation Epic Integration Platform

The application streamlines medication reconciliation workflows for both patient admission and discharge. This platform synthesizes critical medication data from various Epic EHR sources, processes it through an AI model, and generates a comprehensive, reconciled "Gold Standard Output" document. The solution aims to enhance accuracy, reduce manual effort, and ensure seamless integration with existing hospital systems, ultimately improving patient safety and doctor efficiency.

Features:

  • Epic EHR Data Integration – Establishes secure connections to Epic's API (FHIR Epic endpoints) to extract patient medication data for admission (Prior to Admission Medications, Outpatient Dispense Report, Facility Administered Medications) and discharge (Outpatient Dispense Report, Facility Administered Medications, Discharge Home Medications) workflows, adhering to OAuth 2.0 guidelines and HIPAA compliance.
  • AI Model Processing – Formats extracted data into structured prompts for a client-provided OpenAI O1 model, generating a reconciled "Gold Standard Output."
  • AWS Secure Data Storage – Develops a data pipeline to securely store the "Gold Standard Output" in AWS (S3 bucket, encrypted for HIPAA compliance), ensuring easy retrieval of historical data.
  • Epic Write-back Functionality – Implements methods to write the reconciled output back into Epic, supporting PDF uploads (via DocumentReference endpoints), direct linking of S3 bucket URLs to Epic Notes, and potential structured data field entry.
  • Doctor UI/Interaction Mechanism – Provides a user-friendly interface for doctors to request and access reconciled outputs, potentially via an Epic Smart Button, Embedded UI, or a standalone web application, with patient ID or CSN input for workflow selection (admission/discharge).
  • Error Handling & Logging System – Standardized error handling and logging mechanisms for data retrieval, processing failures, and API downtimes.
Edge Fitness Watch app
Project Overview: Edge Fitness Watch app

Edge Fitness for Apple Watch is a companion app that lets users view, start, and track scheduled workouts (Running, HIIT, Strength) directly from their wrist. With real-time cues, progress tracking, and seamless iOS/backend sync, it minimizes phone reliance during training. Designed for hybrid fitness, it supports multiple workout types out of the box, delivering a streamlined, distraction-free experience.

Features:

  • Workout Preview – Displays today’s workout details (name, type, duration/summary) or a fallback message if none is scheduled.
  • Workout Execution Flow (Running) – Live tracking with timer, distance, pace, intervals, HR, and auto-pause, guided by audio/haptic cues.
  • Workout Execution Flow (HIIT) – Step-based timer with auto-advancing intervals, countdown cues, HR tracking, and progress visualization.
  • Workout Execution Flow (Strength) – Reps/sets tracking with rest timers, manual set completion, RPE, and HR metrics.
  • Audio + Haptic Cues – Notifications for transitions, splits, and rest completion with optional countdowns.
Revenue Cycle management
Project Overview: Revenue Cycle management

The primary objective of this project is to design and implement an event-driven backend system that automates the generation, validation, and delivery of healthcare-related EDI (Electronic Data Interchange) files, such as 834 (Eligibility and Enrollment), 837 (Claims), and 835 (Remittance Advice). These files are essential for secure, standardized, and compliant data exchange between healthcare providers, payers, and regulatory partners.

This system aims to:

  • Ensure compliance with HIPAA and EDI X12 standards through rigorous validation (via Cotiviti).
  • Enable seamless integration with external vendors like Avesis, Nations Benefits, and Reveleer through SFTP-based delivery mechanisms.
  • Maintain operational transparency and traceability using real-time monitoring and logging via SigNoz.
  • Support future scalability and workflow orchestration through modular design and integration with AWS services like SQS and Step Functions.

Features:

The Qualexa RCM Software includes:

1. EDI File Generation Engine with Schema Mapping and Vendor Customization

  • Dynamic EDI X12 segment and loop generation based on configurable partner templates (e.g., Avesis vs. Reveleer may have different 834 layouts).
  • Reusable mapping engine that transforms JSON/SQL data into multiple EDI formats with structural and syntax validation.
  • Support for full vs. incremental data submission logic (e.g., full monthly vs. daily deltas).

2. Intelligent EDI Validation via Cotiviti API

  • Asynchronous validation queue with retry/failover mechanisms for Cotiviti downtime or slow responses.
  • Pre-validation checks (schema, control numbers, segment order) before Cotiviti call to reduce round-trips.
  • Parsing and extracting Cotiviti error messages to map them back to specific data fields for troubleshooting.

3. Modular Vendor Integration Framework

  • Vendor-specific delivery protocols (e.g., SFTP, HTTPS, file naming conventions).

4. Fault-Tolerant Event-Driven Architecture

  • S3 Event triggers connected to AWS Lambda/Fargate containers with circuit-breaker patterns.
  • Integration with AWS SQS or Step Functions to manage complex workflows, retries, timeouts, and dead-letter queues.

5. Compliant Data Handling

  • Full HIPAA-compliant design with at-rest and in-transit encryption.
  • Detailed audit logging for every step: file generation, validation, transmission.