Background and challenges

The old situation created a lot of frustration and financial risk. Claims were processed manually by external parties, without the foundation having access to the details. This caused the organization to lose money and lack a grip on the administration.

In addition, it was working with multiple parties such as ZorgApp, FM Zorg and Vecozo links, which did not form an integrated whole. The claims process was slow, error-prone and inefficient.

Lotus Foundation’s biggest wish: a single system in which everything is insightful and automated, with as little room for human error as possible.

The solution

Qualogy developed a completely new Mendix application with a direct link to Vecozo. The solution automated the entire claims process:

• Automatic responses to Vecozo messages (accept, start, stop allocations).
• Control of claim limits per client.
• Automatic processing of responses and settlement with monthly totals.
• Dynamic import and export functionality that seamlessly integrates with the legacy application.

This integration has made the claims process much less error-prone. One mistake in a claim could previously lead to complete rejection, but that risk is now greatly minimized.

Implementation and Process

The project was implemented in two phases:

1. Rebuilding and accelerating the old application.
2. The implementation and testing phase of the Vecozo linkage.

Cooperation went smoothly thanks to short lines of communication and frequent demos to share progress. Qualogy showed flexibility and commitment – even outside working hours for emergencies.A major challenge was the complexity of Vecozo: documentation was limited and the right contacts were hard to find. Eventually Qualogy managed to find the necessary expertise and support through the Ketenbureau i-Sociaal Domein, enabling the link to be successfully realized.
The customer evaluation shows how satisfied Lotus Foundation is with the cooperation:

“Jimmy is a reliable and technically strong person who quickly understands our questions and addresses them in a clear and solution-oriented way.” -Client Evaluation Lotus Foundation.

Results and impact

The new Mendix application delivers tangible benefits to Lotus Home Support Foundation:

• Efficiency: all processes from one central system.
• Time savings: less manual work and faster claiming.
• Reliability: significantly less error prone due to automatic checks.
• Cost savings: no more cost per claim and more control over revenue.
• Ease of use: uncluttered environment with simple Excel workflows and clear interfaces.

The management experiences the new application as a huge step forward: the claims process is faster, error-free and completely in-house – finally putting them back in control of their administration.

For Qualogy, this project also provides an important basis for further expanding the developed Vecozo link and making it generically applicable, so that other healthcare providers can benefit from this solution in the future.

The project demonstrates how Mendix and Qualogy are working together to future-proof healthcare organizations. By combining technical expertise with close collaboration, Lotus Home Support Foundation now has a fast, reliable and integrated application that fully fits their daily practice.

Key message:
With Mendix as a platform and Qualogy as a partner, you are not only investing in technology, but also in a committed team dedicated to your success. You not only choose Mendix as a platform and Qualogy as a vendor, but also the valuable contacts Qualogy has built in this intensive process.

👉 Wondering what we can do for your organization? Contact us without obligation.