A third-party administrator who supported payors with adjudicating out of network claims. The process involved time-sensitive and number-centric scenarios with complex test conditions and heavy test data dependency. The client’s key bottleneck was to edit solution functionality.
- Insufficient test coverage and test cycle time to conduct the edit code testing led to high functional defect leakages.
- Extensive claims test data is needed as a pre-requisite to validate the Edits during every release cycle.
- Test coverage and test data issues led to quality issues which directly impacted the revenue and dissatisfied customer experience.
Genzeon took over the QA function from the in-house team and assessed the current QA. We defined a 30-60-90-day plan with the following focus:
- Prepared the requirement traceability to determine coverage gaps
- Built test cases to improve the overall test coverage
- Initiated test automation to build the automated test coverage
- Reduced the test data generation and cleanup process
- The 14-person onshore QA team was transitioned to an onshore/offshore model
Metrics improved significantly.
|Total Test Cases: 800
|Total Test Cases: 1,700
|Automated Test Cases: 0
|Automated Test Cases: 1,350
|Defective Leakage: 8%
|Defective Leakage: 1%
|Automation Coverage: 0%
|Automation Coverage: 80%
|Test Data Effort: 16 hours each cycle
|Test Data Effort: 6 hours each cycle