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Claims Management System will provide you claims-related services to view existing submitted details or to apply claims according to hospital providers available.

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Claims Management System

It contains following features:

  1. Member Microservice - An authorized member can view premium bills, submit the claim, can view the claim status, which is already submitted.
  2. Claims Microservice - Member Microservice interacts with Claims Microservice. It will give the status of submitted claim.
  3. Policy Microservice - To verify claim eligibility, claims microservice will interact with Policy Microservice which provides the permissible providers in which healthcare services can be offered.
  4. Authorization Microservice - This service authenticate already registered users and hence provides security to the system.
  5. Member portal - This is a frontend application that uses all microservices.

Use Case Diagram:

456

System Architecture Diagram

123

Skills used:

  • Java 8 Features
  • Spring Boot
  • Microservices and RestFul API
  • Spring Data JPA
  • Spring Cloud - API gateway, Load Balancing, Service Discovery using Eureka, Config Server, Feign Client, Fault Tolerance, and many more Spring cloud features.
  • Spring Security - Spring Security, JWT Authentication, and many more features of Spring security.
  • Docker and Kuberneter
  • Amazon Web Services (AWS)
  • Swagger Documentation

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Claims Management System will provide you claims-related services to view existing submitted details or to apply claims according to hospital providers available.

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  • Java 68.8%
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