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Services Overview
Holistic software investment consulting
Software Delivery
Accelerate quality software development
Product Management
Launch modern product orgs
Legacy Modernization
Renovate legacy software systems
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DevOps
Scale infrastructure smoothly
Upgrade Rails
Update Rails versions seamlessly
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Build tech & product teams
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Software Delivery, DevOps, & Product Delivery
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About
About
About
What's a test double?
Approach
Meeting you where you are
Founder's Story
The origin of our mission
Culture
Culture
Culture & Careers
Double Agents decoded
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Great code for great causes
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Say hello
Hospital Referral Services

Case Study

From manual bottlenecks to digital efficiency: HRS transforms patient assistance

The Client

Hospital Referral Services
[
hospitalreferralservices.com
]

Description

Hospital Referral Services (HRS) struggled with a manual, paper-based process for helping hospital patients sign up for financial assistance. Test Double helped HRS from greenfield to execution to increase efficiency. We built a custom health services software solution that reduced operational costs and enabled scaling.

Location & Size

Cleveland, Ohio
60

Nurse stands with tablet in a hospital hallway

Services Provided

Product Management
Software Delivery

Impact Areas

  • Greenfield product delivery
  • Automated processing
  • Sustainable growth

The Mission

(we chose to accept it)

From manual bottlenecks to digital efficiency 

Hospital Referral Services (HRS) struggled with a manual, paper-based process for helping hospital patients sign up for financial assistance. 

Representatives could only assist one patient at a time, filling out paperwork on-site, physically transporting it to HRS, and manually entering it into their systems. This process was slow, error-prone, and couldn’t scale to meet growing demand.

HRS needed a digital solution to streamline operations, reduce errors, and expand support.

They turned to Test Double to develop an electronic system that would increase efficiency, allow for broader service coverage, and support patients in both English and Spanish.

‍

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The Fix

Building a custom solution 

We worked closely with HRS to build a custom solution that digitized the entire process. 

HRS had no internal software development capabilities, so we served as their full development team, advising them on every aspect of the project—from design decisions to deployment strategies. 

We provided strategic guidance, helping them evaluate the trade-offs between third-party tools and in-house solutions. Ultimately, we integrated third-party chat services to support off-hours patient interactions, ensuring seamless assistance around the clock.

Our team designed and developed a web-based application, deployable on iPads, allowing patients to complete forms electronically, significantly streamlining the process. With accessibility in mind, we ensured the system supported both English and Spanish to serve their diverse clientele.

We followed an agile methodology tailored to HRS’s capacity, working in two-week sprints to keep progress aligned with their needs. Throughout development, we maintained checks and balances to ensure high-quality results at every stage.

CONSULTANTS

2

Tech & Techniques

  • AWS
  • CircleCI
  • PostgreSQL
  • Product coaching
  • Product discovery
  • Ruby
  • Rails

The Results

Scaling patient care and improving accuracy

We helped HRS from greenfield to execution, guiding them through every stage—from strategic planning to the full implementation of their custom solution.

Key results included: 

Improved efficiency and scalability: Representatives could now assist multiple patients at once by using iPads, drastically improving efficiency. This scalability allowed HRS to expand their services to more hospitals without increasing their headcount. 

Increased new business: HRS was able to become the sole Medicaid eligibility vendor of a large Health system in Cleveland and a large Health system in Columbus. The application Test Double built also opened several doors for other opportunities.

Improved accuracy: By moving away from paper forms, we eliminated the manual data entry process, reducing the chance for errors and improving the accuracy of information captured.

‍Enhanced accessibility: The application supported both English and Spanish, ensuring that HRS could serve a broader range of patients.

24/7 support: With the introduction of the chat feature, patients could receive assistance at any time, even outside of normal business hours, leading to an increase in patient satisfaction and coverage.

Cost and time savings: Automating the data capture process not only saved significant time but also reduced operational costs by eliminating manual entry tasks and allowing staff to focus on more valuable work.

We also ensured the system complied with HIPAA and hospital data security requirements, addressing the sensitive nature of patient information.

We continue to provide ongoing maintenance and support, ensuring the system remains operational and evolves with the needs of HRS.

‍

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Dollar sign

Reduce operational costs by eliminating manual entry tasks so staff can focus on valuable work

network of people

Increased new business, including becoming sole Medicaid eligibility vendor of large health systems in Cleveland and Columbus

No items found.

Project Team

Dustin Tinney
Agent
0013
Ilana Corson
Agent
0045

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