Healthcare Fraud Prevention - Visual Concepts for Partner Selection and Claim Filtering

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Challenge Summary

The Healthcare Fraud Prevention Project (HFPP) is building a system that will help to identify fraud, waste, and abuse in healthcare claims. The front end of the system is a web application that will be used to conduct studies. The overall user flow of the web app has already been designed. Now we are looking for visual concepts to define the functionality of a GUI for selecting partners and filtering claims.


Overview

The attached storyboards demonstrate the overall functionality of the study management application.

We are using the following terminology:

  • a partner is an insurance company that has joined the HFPP network
  • a claim is a request for payment from an insurance company
  • a study is a plan to look for fraudulent, wasteful, and abusive claims
  • data requests are sent out during a study to ask for claims from partners
  • data responses are the claims sent to the study management application by partners

In this contest, we want to fill in two areas of functionality:

  • selecting partners to whom data requests will be sent
  • filtering the claims that come back

These areas are described in further detail below.

 

Selecting partners

Partner selection will take place on the page represented by 06-study-details-Business-rule-2.png in the storyboards.

In the area where you currently see a placeholder, the user will be presented with a list of partners. Each partner has the following attributes:

  • Name: e.g., Freedom Insurance, Alpha Group, GoodHealth, Sanitas, Peak Centros
  • Location: e.g., Austin, Texas; Los Angeles, California; Pittsburgh, Pennsylvania; Albuquerque, New Mexico; Minneapolis, Minnesota
  • Number of insured: e.g., 6.2 million; 2.0 million; 0.5 million; 6.8 million; 15.0 million
  • Tags: e.g., budget; comprehensive; vertical; western; urban

Note that a partner may have multiple tags.

The partners may be listed in a spreadsheet style, but we would prefer to see something more creative. We'd also like to see an interesting way of selecting partners. Checkboxes are obvious and boring. Try to come up with something innovative yet user-friendly.

 

Filtering claims

You can see a list of claims, with one claim expanded into a detailed view, in 09-study-details-result02-ROW-selected.png. We're looking for ideas to conveniently present and select claims.

The claim filtering process will take place in 10-2filter-tab.png where you currently see a placeholder. We can expand the tab vertically but not horizontally.

The main problem we're facing is that a detailed view of each claim takes up a lot of space. We want to have a compact representation of each claim, but at the same time we'd like to make it convenient for the user to select groups of claims based on claim attributes. Try to depict an efficient UI solution for doing this.

 

Submission requirements

Please submit your visual concept as a set of annotated storyboards. You can include the annotations inside or around each storyboard. The emphasis in this contest is on user flow, interface concepts, and graphical themes.

You do not have to deliver production-ready storyboards. The winning visual concept will be used as input to software contests, which will finalize the desired functionality before we come back to Studio for production graphics.

 

Target audience

The visual concepts will be provided to software architects to help them define the software logic behind these parts of the user interface.

 

Judging criteria

  • completeness: Does your visual concept cover the required functionality?
  • clarity: Do we get a good sense of the work flow in these parts of the interface?
  • graphics: Are your visuals aesthetically attractive?

 

What to submit

Submission: PNG images of your design concept.

Source: Graphical source files.

Preview image: 1024 x 1024 screenshot in JPEG or PNG format.

 

Final fixes

You may be asked for minor changes to meet the stated requirements of this contest.

Please read the challenge specification carefully and watch the forums for any questions or feedback concerning this challenge. It is important that you monitor any updates provided by the client or Studio Admins in the forums. Please post any questions you might have for the client in the forums.

Stock Photography

Stock photography is not allowed in this challenge. All submitted elements must be designed solely by you. See this page for more details.

How To Submit

  • New to Studio? ‌Learn how to compete here
  • Upload your submission in three parts (Learn more here). Your design should be finalized and should contain only a single design concept (do not include multiple designs in a single submission).
  • If your submission wins, your source files must be correct and “Final Fixes” (if applicable) must be completed before payment can be released.
  • You may submit as many times as you'd like during the submission phase, but only the number of files listed above in the Submission Limit that you rank the highest will be considered. You can change the order of your submissions at any time during the submission phase. If you make revisions to your design, please delete submissions you are replacing.

Winner Selection

Submissions are viewable to the client as they are entered into the challenge. Winners are selected by the client and are chosen solely at the client's discretion.

ELIGIBLE EVENTS:

2014 TopCoder(R) Open

Challenge links

Screening Scorecard

Submission format

Your Design Files:

  1. Look for instructions in this challenge regarding what files to provide.
  2. Place your submission files into a "Submission.zip" file.
  3. Place all of your source files into a "Source.zip" file.
  4. Declare your fonts, stock photos, and icons in a "Declaration.txt" file.
  5. Create a JPG preview file.
  6. Place the 4 files you just created into a single zip file. This will be what you upload.

Trouble formatting your submission or want to learn more? ‌Read the FAQ.

Fonts, Stock Photos, and Icons:

All fonts, stock photos, and icons within your design must be declared when you submit. DO NOT include any 3rd party files in your submission or source files. Read about the policy.

Screening:

All submissions are screened for eligibility before the challenge holder picks winners. Don't let your hard work go to waste. Learn more about how to  pass screening.

Challenge links

Questions? ‌Ask in the Challenge Discussion Forums.

Source files

  • Layered PSD files created in Adobe Photoshop or similar
  • AI files created in Adobe Illustrator or similar

You must include all source files with your submission.

Submission limit

5 submissions

ID: 30035061