Healthcare Application testing

Healthcare domain testing is a method of evaluating a healthcare application for criteria

such as standards, safety, compliance, and cross-dependency with other organizations.

We can perform following testing in Healthcare Application:

• system integration testing
• functional testing
• verification of the mobile version
• compatibility testing
• cross-browser testing
• performance testing
• interoperability testing
• security testing

Healthcare Applications has following systems that we check:

1. Member system − To keep track of policyholder information, as well as various plans

and their benefits lists, and to create premium bills for policyholders based on their plans.

2. Provider system − to keep track of provider information

3. Broker system − To keep track of broker information and calculate commissions

4. Claims system − For submitting and validating claims

5. Finance system − To make the required payments to the supplier, member, or broker

6. Member Portal − View policyholder information, pay premiums, and submit a request
for policyholder information changes.

7. Provider portal − To display provider information and submit a change request for
provider information.

8. Broker portal − displays broker information and allows brokers to seek changes to
their information.
Business flow:
Title: ETL-BI services for HPR Market
Client: TransEnterix
TransEnterix have their own Medical Diagnosis Software which allows Physicians
to exchange anonymized patient records so that they can fill any informational gaps
preventing them from providing an accurate diagnosis.
There are 3 markets in healthcare Providers, Payers and life science I have worked on
Healthcare Providers market.

Technical Flow:
• There are 3 markets in healthcare Providers, Payers and life science market.
• The unique feature of healthcare application testing is we must follow a sequence
rather than random checking.
• There are basically 8 system that we check are as follows:
1) Member system

2) Provider system

3) Broker system

4) Claims system

5) Finance system

6) Member Portal

7) Provider portal

8) Broker portal

• For a member/policy holder to be enrolled in a health plan he/she needs to be assigned

to a provider (Primary care physician) or provider network, so it is important to validate
assign provider through member system. Member system connected to provider system,
thus provider system tested before testing member portal.

• Claim consist of ProviderID and MemberID with other details.Claim system should
validate both member and provider to validate the claim.Thus member and provider
systems should be tested before claims system.

• Finance system gets the data from member, provider, claims and broker system.

• Provider and broker are standalone system.

• Portals should be tested at last as the data to portal come from other applications.