An Web Based Claim Processing System.

1. Web Based Claim Processing System
Project Group:2
Developed By:
Mr. Kavankumar Nileshkumar Solanki
Mr.Vrajkumar Hasmukhbhai Parekh
Project Guided By:
Mr. Rohan Patel

2. Project Profile
• Project Name: Web Based Claim Processing
System
• Front End: Microsoft Visual Studio 2008
• Middle End: C#
• Back End: MS SQL Server 2005
• Group Members:
1. Kavankumar N. Solanki
2. Vrajkumar H. Parekh
• Project Guide: Rohan Patel

3. Index
Sr No. Topic Description Page No
01 Project Definition 4
02 Need of the System 5
03 Project Module List 6
04 Diagrams
4.1Use Case Diagram 11
4.2Activity Diagram 13
05 Database Layout 17
06 List of Input Screens 24
07 List of Output Screens 15
08 Limitations 38
09 Enhancements 39
10 Bibliography 40
11 QnA 41

4. Project Definition
• A claim is a legal action to obtain money, property, or the enforcement of a right
against another party. The legal document which carries a claim is called a Statement
of Claim.
• Individuals who take out home, life, health, or automobile insurance policies must
maintain regular payments called premiums to the insurers.
• Most of the time these premiums are used to settle another person's insurance claim
or to build up the available assets of the insurance company.
• But occasionally an accident will happen which causes real financial damage, such as
an automobile or a work-related accident. At this point the injured policy holder has
the right to file an insurance claim in order to receive money from the insurance
company.

5. Need of the System
• Expand the organization’s s geographic reach
beyond the current physical location.
• Integrate all employees worldwide by using an
online site process, and shorten the overall claim
process.
• More transparent process of claim processing.
• Online status updation, Employee can view the
status of his/her claim online.
• No additional and specific system requirement to
operate the WCPS site.

6. Project Modules List
• Client
• CPD-Claim Processing Department

7. Project Modules
1. Client
• Able to login into the site
• Able to Apply for new claim.
• Able to view status of old claim details.
• Change Password.

8. Continue……
2. CPD: - Claims Processing Department
• Able to manage the employee, add, edit
employee details.
• Must able to approve / reject claim.
• Must able to view status of claim details.

10. 1. Use Case Diagram

11. System Use Case Diagram

12. 2.Activity Diagram

14. Database Used

15. 1. Client_Data
Column Name Data Type Size Constraints Description
Id Int Identification ID
Name VarChar 50 Not Null Client Name
Email VarChar 50 Not Null E Mail ID
Mobile Numeric 12,0 Not Null Mobile Number
Dob Varchar 18 Not Null Date of Birth
Age Numeric 3,0 Not Null Age
Desg VarChar 20 Not Null Designation
Dept VarChar 20 Not Null Department
Salary Numeric 8,2 Not Null Salary
Address Varchar MAX Not Null Address
Gender Varchar 07 Not Null Gender
Userid Varchar 50 Primary Key User ID
Password Varchar 16 Not Null Password
Type_user Varchar 8 Not Null User Type

16. 2. Claim_Data
Column Name Data Type Size Constraints Description
Claimid Varchar 20 Primary Key Claim Id
Userid Varchar 50 References
Client_Data(use
rid)
User ID
Client_name Varchar 50 Not Null Client Name
Claim_type Varchar 50 Not Null Claim
Specification
Claim_amount Numeric 10,2 Not Null Claim Amount
Age Numeric 3,0 Not Null Age
Mobile Numeric 12,0 Not null Mobile number
Email Varchar MAX Not Null E Mail ID
Patient_name Varchar 50 Not Null Patient Name
Sex Varchar 07 Not Null Gender
Address Varchar Max Not Null Address
Pincode Numeric 07 Not Null Pincode
Ins_cmp Varchar 50 Not Null Insurance
Company Name
Hospitalization_
Duration
Numeric 2,0 Not Null Hospitalization
Duration
P_cnt Numeric 12,0 Null Patient Contect
No
Relation Varchar 20 Not Null Relation with
Claim Holder

17. 3. db_log
Column Name Data Type Size Constraints Description
Id Int - Identical Unique ID
Uid Varchar 50 Not Null ,
References
Client_Data(use
rid)
User ID
Log_time Date - Not Null Log In Time

18. 4. db_Query
Column Name DataType Size Constraints Description
ID Int - Identical ID
Name Varchar 50 Not Null Name
Email Varchar 50 Not Null Email Id
Query Varchar MAX Not Null Question or Problem

19. 5. db_status
Column Name DataType Size Constraints
Claim_id Varchar 20 Not Null References
Claim_Data(claimid)
Client_Name Varchar 50 Not Null
Claim_Status Varchar 9 Not Null
Userid Varchar 50 Not Null References
Client_Data(userid)

20. 6. Medical
Column Name DataType Size Constraints
ID Int - Identity
Speciality Varchar 60 Not Null
Min_Amount Numeric 10,2 Not Null
Max_Dur Varchar 5 Not Null

21. Design Of Input Screens
1. Sign Up:-Page for Register to WCPS.
2. Sign In:-Page for Log In into WCPS.
3. Forget Password:-Page for Reset Password in
Case of Not Remember the Password.
4. Change Password:-Facility to Alter the Pre-Existing
Password after Sign In Successfully.
5. Manage Claim:-Page for Approving/Rejecting
Claims.
6. Register/ File Claim:-Add or Apply for New Claim
To CPD.

22. Design Of Output Screens
1. Profile:- Display the Information About Signed
In Person.
2. Claim Status:-Show the Current Status of Pre-
Filed Claims.
3. Client Data:-List of all Registered Clients. See
by only Admin(CPD).
4. Claim Log: Display Claim Filed by Client.

23. Sign Up Page :-

25. Sign In Page:-

26. Forget Password:-

27. Change Password

28. Manage Claim

29. Register/ File new Claim

30. Add New Claim

31. Update Profile

32. Profile

33. Claim Status

34. Client List

35. Claim List

36. Client Suggestion/Query

37. Limitation
 This Web Site used for Online Medical Claim. It not provides
the functionality for All the other kind of claim processing.
 This site is currently in just study phase or we can say that
currently it is under the process of assembling all other claims.
 It provides just static or single CPD workflow, so it is not
sufficient for multifunctional CPDs.
 It has some issues with the claim amounts and some other
claim related queries like it has only one claim file form.
 So if some other (NRI) try to file Claim some field will be fuzzy
for himher.

38. Proposed Enhancement
• This project was developed to fulfill user requirement; however there are
lots of scope to improve the performance of the Web Based Claims
Processing System (WCPS) in the area of user interface, database
performance, and query processing time. Etc.
• So there are many things for future enhancement of this project. The future
enhancements that are possible in the project are as follows.
– Linking and integration of other online web sites.
– Integration with other legacy accounting database through Web
Services
– Connection to third-party OLAP applications
– In the area of data security and system security.
– Provide more online tips and help.
– To optimize the query which is embedded in the system.

39. Bibliography
1. Websites
• Following websites are referring to create this project reports.
– http://www.google.com
– http://www.microsoft.com
– http://www.programmer2programmer.net
– http://www.codeproject.com
2. Books
• Following books and ebook are used to complete this project reports.
– Mastering C# (Paperback)
– SQL Server Bible (Paperback)
– .NET Black Book (Paperback)
– Professional C#, 2nd Edition (Paperback)
– Professional ASP.NET (Paperback)