International Journal of Research In Science & Engineering e-ISSN: 2394-8299

Volume: 3 Issue: 2 March-April 2017 p-ISSN: 2394-8280

WEB BASED CLAIM PROCESSING SYSTEM

Ms. Kalyani Khatdeo1, Ms. Anuradha Kurhekar2, Mr. Piyush Chaudhari3,
Mr. Jay Parmar4, Prof. Rajkumar Chalse5
Information Technology Engg, DMIETR, Wardha1,2,3,4

Asst. Prof. Dept. IT, DMIETR ,Wardha5

kallykhatdeo@gmail.com1
radha1095@yahoo.com2
piyushchaudhari1895@gmail.com3
jayprmr27@gmail.com4
rajchalse@gmail.com5
Abstract:-
The web based claim processing system(WCPS) is complete online system. This system
provide a facility to insurance company, industry and its employee for claiming purpose.
WCPS having admin side, company head and employee side individual login. It provides
easy application of claim and transparency to the admin as well as employee. WCPS makes
it easy for employee to see status of the claim. It provide total security for the claim and its
procedures. WCPS has MAIL facility for the updates of claim.
Keywords: online system, transparency

1. INTRODUCTION
Web Based Claim Processing System (WCPS) is complete end to end solution to cover all
aspects of online claim and reimbursement system. In this site employee can fill the form
online and can submit the necessary document for claim processing department through
online. This website will permit to enter new claim, track the claim status and maintaining
master information. Employees are the main users of this system and management can
approve or reject the claim requests sent by employee. A claims processing system is an
intelligent piece of software that helps to automate the process of claims submission. It helps
to simplify the process - the task of coding becomes simpler, readily available data entry
form, error handing and many more features. The systems aim at simplying the life of
healthcare professionals as well as patients (by way of less denials and quicker claims
reimbursement). A claims processing system can be desktop based or web based.It helps the
employee to fill the form online and submit it so that the form is sent to CPD through
Internet.

2. OBJECTIVES

Web Based Claims Processing System (WCPS) is complete end to end solution to cover all
aspects of online claim and reimbursement system.
The basic objective of developing this project is:
 Provides complete web site solution, including employee registration, enter new
claim, approve/ reject claim. Complete web based administration.

 The Web Based Claims Processing System can automatically display pending claim
count in the main page of employee of Claims Processing Department (CPD).

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 International Journal of Research In Science & Engineering e-ISSN: 2394-8299
Volume: 3 Issue: 2 March-April 2017 p-ISSN: 2394-8280

 Employee can view their claim status online and all claims can be treated as Pending,
Approved and Rejected.

 Employee of CPD can add, edit employee details, all employees are identified by the
employee no. Employee no will be unique throughout the system.

 System must store audit trail of all DML transaction, like it stores employee no, time
stamp in the database for add, edit, delete operation.

 System should capture late login time for all the employees.

 Complete web based system no installation required to run the application in client
system.

 Employee must able to view his/her previous claim details.

 Also we use the third party tool through API and we are providing the Security
wherever necessary.

3. PROJECT SCOPE

Based Claims Processing System (WCPS) will permit to enter new claim, track the
claim status and maintaining master information. The main users of the project are
Employee of all departments and Employee of CPD – Claim Processing Department.
From an end-user perspective, the Web Based Claims Processing System Project
consists of two functional elements: enhanced Employee modules for Login, Apply
for new claim, view status of already applied claim. And CPD module for
approve/reject claim, view pending status, Add/Edit employee details.

4. ARCHITECTURE

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 International Journal of Research In Science & Engineering e-ISSN: 2394-8299
Volume: 3 Issue: 2 March-April 2017 p-ISSN: 2394-8280

Fig.1 Web Based Claims Processing System (WCPS) System Architecture

IJRISE JOURNAL| www.ijrise.org|editor@ijrise.org [295-299]

 International Journal of Research In Science & Engineering e-ISSN: 2394-8299
Volume: 3 Issue: 2 March-April 2017 p-ISSN: 2394-8280

5. Process Flow Chart

Start

Login

Module
Selectio
n
Admin Employee

View Pending Apply Claim

Claim Status

Approve /
Reject Claim View Status

Manage
Employee

Stop

Fig. Process Flow Chart

6. FUTURE ENHANCEMENT
This project was developed to fulfill user requirement; however there are lots of scope to
improve the performance of the Web Based Claims Processing System (WCPS) in the area of
user interface, database performance, and query processing time. Etc. So there are many
things for future enhancement of this project. The future enhancements that are possible in
the project are as follows.
 Linking and integration of other online web sites.
 Integration with other legacy accounting database through Web Services
 Connection to third-party OLAP applications
 In the area of data security and system security.
 Provide more online tips and help.
 To optimize the query which is embedded in the system.

IJRISE JOURNAL| www.ijrise.org|editor@ijrise.org [295-299]

 International Journal of Research In Science & Engineering e-ISSN: 2394-8299
Volume: 3 Issue: 2 March-April 2017 p-ISSN: 2394-8280

7. ADVANTAGES :

 Provides complete web site solution, including employee registration, enter new
claim, approve/ reject claim.
 Complete web based administration.
 The employees of all departments can use this system.
The Web Based Claims Processing System can automatically display pending claim
count in the main page of employee of Claims Processing Department (CPD).
 Employee can view their claim status online and all claims can be treated as Pending,
Approved and Rejected.
 Fastest application and it require less time.
 It is easy to use just form filling and your job get processed automatically by web and
database servers.

8. CONCLUSION
At the end of our project, we are able to develop software to process claims
(Apply and approve claims)of all the employees. The system developed is able to meet all
the basic requirements. It will provide the facility to the user so that they can record all
the claims of the employee in more efficient and proper way. The management of the
information will be immensely benefiated by the system, as it will automate the claim
processing system which will reduce the workload. The security of the system is also one
of the prime concerns. There is always a room for improvement in any software, however
efficient the system may be. The important thing is that the system should be flexible
enough for future modifications. Web Based claim processing System which is web based
so that the employee can fill the form online and submit it so that the form is sent to CPD
through Internet.

9. REFERENCES
[1] Omair Shafiq, Srdjan Komazec titled “Semantic web services as foundation for
enterprise interoperability.”, 2008.
[2] M.A.Serhani, A.Hafid titled “A QoS broker based architecture for efficient Web
services selection”, 2005.
[3] Yogita Rani and Dr. Harish Rohil titled “A Study of Hierarchical Clustering
Algorithm”, 2013.

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