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Smart Data

Letting Medicaid providers set which services they’re available for

Smart Data extended an existing provider sourcing application for a leading Medicaid managed care organization, adding user-managed service preferences, customizable notifications including SMS, and API integrations that eliminated duplicate data entry across platforms.

Built on.NET CoreReactSQL Server

Industry
Healthcare, Medicaid managed care, provider operations
Engagement
Custom Development
A person typing on a laptop at a white desk

The client’s Provider Sourcing application gives healthcare providers a way to indicate which services they’re available to deliver and accept assignments accordingly. The application worked, but the provider experience could be sharper. Providers wanted control over which types of services they performed, when and how they were notified about available work, and a way to avoid entering the same information across multiple internal platforms.

Smart Data delivered a tightly scoped enhancement in 3.5 months, working in the application’s existing .NET and React stack to add provider preference controls, customizable SMS and email notifications, and API integrations that eliminated cross-platform duplicate entry.

The challenge

The pre-enhancement provider experience had four core problems holding the team back.

  • Providers couldn’t fine-tune which services they performed without a support call to make changes
  • Notification preferences were rigid; the application couldn’t match different practice patterns (immediate vs batched, by channel)
  • SMS wasn’t available as a notification channel even though many providers in clinical environments rely on phone-based alerts
  • Provider data had to be entered manually across multiple internal platforms, burning time and creating opportunities for inconsistent data

Context: The enhancement had to fit cleanly into the existing Provider Sourcing system without disruptive rebuilds, while integrating with adjacent systems through APIs to eliminate duplicate manual entry.

An empty exam room with a wall-mounted computer and diagnostic instruments

The solution

Model: Smart Data partnered with the client’s business analyst on a tightly scoped enhancement. A small team executed: two Smart Data software developers and a client-side business analyst. The architecture stayed in the .NET and React stack the existing application already used.

Key implementation highlights

  • User preference center for service types giving providers direct control over which services they perform and the granularity of their participation
  • Customizable notification preferences flexible enough to handle different practice patterns (immediate alerts, batched, by channel)
  • SMS as a first-class notification channel for providers in clinical environments where phone-based notifications are more reliable than email
  • API integrations to adjacent platforms so provider data flowing through the Provider Sourcing application synchronized automatically, eliminating duplicate entry
  • Stack continuity with the existing .NET and React application to avoid disruptive rebuilds
  • Tightly scoped delivery in 3.5 months from kickoff to production

Process note: Not every healthcare technology improvement needs a 24-month platform build. The highest-leverage move was a precise enhancement to an existing application: better preference controls, smarter notifications and cleaner API integrations between systems that already work.

The results

The enhancement delivered four operational improvements:

  • Gave providers direct control over which services they perform without requiring a support call

  • Matched notification preferences to actual practice patterns, including SMS for clinical environments

  • Eliminated duplicate manual data entry across adjacent internal platforms via API integrations

  • Improved data consistency across the client’s internal platforms by removing a known source of provider frustration

Conclusion: A tightly scoped enhancement to an existing application produced material improvements to the provider experience without a rebuild. The right small engagement, well-defined and well-focused, can deliver disproportionate value.

Client

Industry

HealthcareInsurance

Platform and technology

  • React
  • .NET Core
  • SQL Server

Related services

Application development and modernizationHealthcareInsurance

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