. A new business imperative for Healthcare IT. ALTEN Calsoft Labs' fundamental premise and philosophy on healthcare software testing is centered around the. Our extensive healthcare domain experience spanning. Manual Testing Healthcare Domain. manual Ample experience to aid expertise healthcare software testing, Domain. (.pdf) or read online. Various testing approaches for facets applications in healthcare. Healthcare QA & Testing Services. The utility of software in healthcare delivery in hinged on its quality and predictability. Domain Intensive Value Proposition. Software Testing In Healthcare Domain Pdf WriterTesting Healthcare Applications - Tips And Test Scenarios (Part 2)In the last article, we did some heavy lifting in terms of understand the healthcare domain. We are ready to put our “Tester’s hat” back on and now try to understand how to test the health care applications.=> If you haven’t read part 1 please read it here: How to Test Health care application – introduction. We are now going to pick each application/system and come up with conditions that we are going to validate in each one of them. This article is useful for the testers who are already in the healthcare domain or those who want to enter in this hottest career field. Let’s get started! Healthcare Application Testing – The Sample Test Scenarios for: Testing of Provider system: 1. Provider system should be let us enter, edit and save provider data. Positive flow system testing- include scenarios to enter different types provider, change, save and inquire them.
Negative flow system testing- include scenarios to. Save a provider with incomplete data. Save a provider with contract effective date less than the provider license date. Enter data of provider which is already available in the system and save. System integration testing should include scenarios to. Validate the feed to downstream systems such as feed to member system, provider portal, claim system and finance system. Validate if the changes from provider portal are incorporated in the respective provider record. Challenges Faced by Testers in the Healthcare Domain. Testing healthcare software is a difficult task for testers as it requires a vast knowledge of the domain. SAP testing ppt, SAP testing pdf. Health Care Domain & Testing Challenges 14,130-1. Share; Like; Download. - Healthcare software’s are designed around safety and hazard requirements Inadequate testing for safety and hazards will have a. Testing of Broker system: 1. Broker system should be capable of the following,Enter, edit and save broker data. Software Testing In Healthcare Domain Pdf CreatorCalculate broker commission based on the premium payment details from member system. Positive flow system testing should include scenarios to. Enter, edit and save broker record for different types of broker. Calculate the commission for the active broker by creating feed file with the respective record for members with different plan. Negative flow system testing should include scenarios to. Enter a broker record with insufficient data and save for different types of broker. Calculate the commission for the terminated broker by creating feed file with the respective record for members with different plan. Calculate the commission for the invalid broker by creating feed file with the respective record for members with different plan. System testing should include scenarios to. Validate the feeds to downstream system such as broker portal, finance system and member system. Validate if the changes from broker portal are incorporated in the respective broker record. Testing of Member system: Member system should be capable of the following,Enroll, terminate, reinstate and re- enroll a member. Add and remove a dependent. Generate premium bill. Process premium payments. Enrollment: In individual policy, a policy holder is added under a plan with an effective date from which he/she will be paying premium for the benefits provided by the insurer and from which he/she is eligible for submitting claims and receiving coverage. In Group policy, a member is added to the group (which is already added under a plan) with an effective date from which he/she is eligible for submitting claims and receiving coverage. Termination: In individual policy, the policy is terminated with a termination date from which a policy holder will not be covered by the insurance plan. In group policy, either the member alone can be terminated with a termination date or the whole group can be terminated. Reinstatement: If a terminated member asks for the policy to be active again and the current date is within the grace period from the termination date then the member can be reinstated without gap in coverage. The policy effective date will be the same old effective date and not the current date. Re- enrollment: If a terminated member asks for the policy to be active again and the current date is beyond the grace period from the termination date then the member can be re- enrolled with gap in coverage. The policy effective date will be the current/future date and not be the same old effective date. For example, A member is enrolled in a policy with effective date as 1/1/2. Case 1: If the member comes back at 1/1. Case 2: If the member comes back at 2/1/2. Here there is a gap in coverage (1/1/2. Positive flow system testing should include scenarios to. Enroll different types members with past, current and future effective dates. Change and inquire members. Generate premium bill for an active member for next month. Terminate an active member with past, current and future termination dates greater than effective date. Re- enroll a terminated member with past, current and future effective dates. Reinstate a terminated member. Negative flow system testing should include scenarios to. Enroll a member with insufficient data. Generate premium bill for next month for a terminated member. System integration testing should include scenarios to. Validate the feed to downstream systems such as member portal, provider portal, broker system, claim system and finance system. Validate if the changes from member portal are incorporated in the respective member record. Process the payment of generated premium bill with feed from member portal that has details of payment made. Testing of Claims system: Claims in healthcare have diagnosis code and procedure code for the claim to be in detail. Diagnosis code – Refers to the disease the patient have. Procedure code – Refers to the treatment provided to the patient. Claims system should be capable of the following,Enter, edit and process claims for member as well as dependent. Should throw errors for invalid claims based on the incorrect data entered. Positive flow system testing should include scenarios to enter, edit and process claims for member as well as dependent. Negative flow system testing should include scenarios to. Enter and validate a claim with invalid diagnosis code and procedure code. Enter and validate a claim with inactive provider IDEnter and validate a claim with terminated member. System integration testing should include scenarios to validate the feed to downstream systems such as finance and provider portal. Testing of Finance system: Finance system should be capable of writing pay checks and making EFT payments to the respective recipient by processing the feeds from various upstream systems such as claims, member, provider and broker system. Positive flow system testing should include scenarios to check whether correct address or account number is chosen for the respective provider, member or broker for the payment. Negative flow system testing should include scenarios to. Check whether payment is done for invalid member, provider or broker ID by creating respective records in the feed. Check whether payment is done for invalid amount (Zero or negative) for the member, provider or broker by creating respective records in the feed. System integration testing is not needed as this doesn’t have any downstream systems and the feeds from the upstream are validated in the system integration testing of respective systems. Testing of Member portal: Member portal should be capable of the following,View policy details and claim status. Make change requests in policy details. Make premium payments. Positive flow system testing should include scenarios to. Login and view policy details and claim status. Make change request to change address, name, phone number, etc. Make premium payments. Negative flow system testing should include scenarios to. Login with invalid credentials. Make payment for a paid premium bill. Make payment with an invalid check. System integration testing is not needed as this doesn’t have any downstream systems and the feeds from the upstream systems are validated in the system integration testing of respective systems. Testing of Provider portal: Provider portal should be capable of the following,View provider details, member details and claim status. Make change requests in provider details. Positive flow system testing should include scenarios to. Login and view provider details, member details and claim status. Make change request to change address, name, phone number, etc. Negative flow system testing should include scenarios to. Login with invalid credentials. View member details with an invalid member IDSystem integration testing is not needed as this doesn’t have any downstream systems and the feeds from the upstream system are validated in the system integration testing of respective systems. Testing of Broker portal: Broker portal should be capable of the following,View broker details and commission payment. Make change requests in broker details. Positive flow system testing should include scenarios to. Login and view broker details and commission payment. Make change request to change address, name, phone number, etc. Negative flow system testing should include scenarios to login with invalid credentials. System integration testing is not needed as this doesn’t have any downstream systems and the feeds from the upstream are validated in the system integration testing of respective systems. That’s it- that’s all the modules and the aspects we would test in them. Important tips for Testing Healthcare software: Tip#1. Dates are important and have to be accurate because a slight change in the date may cause a major defect to be un- noticed. Tip#2. In healthcare, there are many test parameters such as different types of plan, members, providers, brokers, commission calculation method, etc., – so care should be taken while designing test cases by having a track of parameters covered and not covered. Tip#3. Know the business users for the respective systems and think from their perspective to find any the best defects. Tip#4. It is not needed to follow the same order for system testing and the scenarios provided here just cover the overall functionality of a healthcare application. You may also need to include some more scenarios (more hints at this and this post) based on the requirements you receive.
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