Medico Operations Development Model

This assignment delves into the operational development model of Medico, focusing on the distinct roles played by key stakeholders. It examines the responsibilities and contributions of the Board of Members, Chief Information Officer (CIO), Application Architects, and System Architects in shaping effective operations within the organization. The analysis highlights how each stakeholder group contributes to the successful implementation and management of Medico's operational processes.

Running head: ENTERPRISE ARCHITECTURE
Enterprise Architecture
Name of the Student:
Student ID:
Name of the University:
Author’s note:

1ENTERPRISE ARCHITECTURE
Executive Summary
The report had been developed for forming the analysing the case study of the Medico and
forming the implication of the improved processing with the help of As-Is baseline architecture
diagrams. The development of the report has been concerned for making a formal report for the
stakeholders of the project. The report would provide them a clear understanding of the process
of the development that could benefit the implication of the effective processing in the
organization. The report would form the implication of the system development and it had
formed the effective flow of operations in the organization. The implication would help in
forming the development of the user specific document for the stakeholders. The analysis of the
diagrams would be channelized for forming the effective flow of operations. The report had been
created for shaping the breaking down the contextual investigation of the Medico and framing
the ramifications of the enhanced preparing with the assistance of As-Is pattern engineering
charts. The advancement of the report has been worried for making a formal report for the
partners of the venture. The report would give them an unmistakable comprehension of the
procedure of the advancement that could profit the ramifications of the compelling handling in
the association. The report would frame the ramifications of the framework advancement and it
had shaped the powerful stream of operations in the association. The suggestion would help in
shaping the improvement of the client particular report for the partners. The investigation of the
charts would be channelized for shaping the viable stream of operations.

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Table of Contents
1. Project Background.....................................................................................................................3
2. Overview of stakeholders and their concerns..............................................................................4
3. Viewpoint and discussion per stakeholder..................................................................................7
4. Conclusion.................................................................................................................................10

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1. Project Background
The project is developed for implementing the improved functions for Medico for the
activities of claiming the medic-claims and getting the claims approved. The scheme of Medico
is formed for developing the effective flow of operations for interacting with the stakeholders in
the organization. The development of the operations would tend to integrate the effective flow of
implementing the system development of the operations. The organization is non-profit
organization that focuses on the development of the support for the patients and their operations.
The implication of the medical scheme would provide the professionals and schemes would
imply the deployment of the effective processing to employ the system development methods
and tools. The study would focus the effective deployment of the system integration for the
cognitive development of the operations. The satisfaction would deploy the development of the
improvement functions. The development would form the sufficient implication in implying the
supplementary development of the operations. The development of the operations could be
improved by the development of the supplementary operations. The acquisition of the members
and service providers would help in providing the effective deployment of the operations. The
management of the funds would imply the cognitive development of the effective processing
unit. The member lifecycle, policy, and service provide relationship management would help in
forming the core functions for Medico. The risk management would imply cohesive
development of the operations and implication of the effective risk management of the
organization. The undertaking is produced for executing the enhanced capacities for Medico for
the exercises of asserting the doctor guarantees and getting the cases endorsed. The plan of
Medico is framed for building up the viable stream of operations for associating with the partners

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in the association. The advancement of the operations would have a tendency to incorporate the
viable stream of executing the framework improvement of the operations. The association is non-
benefit association that spotlights on the advancement of the help for the patients and their
operations. The consequences of the medicinal plan would give the experts and plans would
suggest the sending of the viable preparing to utilize the framework advancement strategies and
devices. The investigation would centre the compelling sending of the framework mix for the
psychological advancement of the operations. The fulfilment would send the advancement of the
change capacities. The improvement would shape the adequate ramifications in inferring the
supplementary advancement of the operations. The advancement of the operations could be
enhanced by the improvement of the supplementary operations. The obtaining of the individuals
and specialist co-ops would help in giving the successful arrangement of the operations. The
administration of the assets would suggest the subjective advancement of the powerful preparing
unit. The part lifecycle, arrangement, and administration give relationship administration would
help in shaping the centre capacities for Medico. The hazard administration would infer durable
improvement of the operations and ramifications of the compelling danger administration of the
association. The organization would develop effective flow of operations within the various
levels of stakeholders for the development of the operations.
2. Overview of stakeholders and their concerns
The Medico scheme is helpful for forming the support to the implication of the effective
processing of the operations. The one year Medico schemes had provided the subsequent
development of the operations for the integration of the system development. The core business
competencies of the Medico are the member lifecycle management, third-party lifecycle

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management, and service provider lifecycle management. The Medico scheme had provided the
development of the individual business functions. The member lifecycle management had
provided the functions of accounts and policies, acquisition, audits and controls, medical claims
and medical payments, exception management, relationship management, risk and risk
assessment, top up-benefit (backup) insurance, and travel insurance. The third-party lifecycle
management had provided the functions of accounts and payments, acquisition, audits and
controls, contracting, exception management, relationship management, and service level
management. The service provider lifecycle management had provided the functions of account
and payments, acquisition, audits and controls, claims and payments, contracting and
outsourcing, exception management, relationship management, service level management, and
insurance management. The stakeholders have to ensure the processing of the effective
processing of the operations for indulging their own functional improvement. The integration of
the operations can benefit the implementation of the effective operational flow in the
organization.
The system development would include the influence of the effective processing within
the organization. The development of the operations would tend to form the effective
deployment of the processing in the organization. The operations of the Medico would involve
the processing of the user request for claims and accessing the feasibility of the claim to form the
effective business operations. The development of client information processing would tend to
form the development of the effective control strategies of operations. The communication
within the organization had been sufficiently deployed for integrating the development of
operations. The process starts with the professional of specific professions requesting for the
medical claims and it would be processed through the system of Medico. The client server would

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receive the request for the medical claim by the professional specific persons. The server
integration would involve the deployment of the specific deployment of the operation
integration. The inbound claim would tend to form the initialization of the claim assessment and
development. The claim reconciliation would tend to form the analysis of the member fund and it
would comprise of sufficient deployment of the improved services. The claim settlement is
developed for integrating the payment option along with the claim approval operations.
The notification services would divulge the effective flow of claim notifications and
services for the improvement of the effective operations. The partners need to guarantee the
handling of the powerful preparing of the operations for revealing their own useful change. The
coordination of the operations can profit the usage of the viable operational stream in the
association. The framework improvement would incorporate the impact of the powerful handling
inside the association. The improvement of the operations would tend to frame the compelling
sending of the handling in the association. The operations of the Medico would include the
preparing of the client ask for claims and getting to the plausibility of the claim to shape the
powerful business operations. The advancement of customer data handling would tend to frame
the improvement of the successful control procedures of operations. The communication inside
the association had been adequately sent for coordinating the advancement of operations. The
procedure begins with the expert of particular callings asking for the beneficial cases and it
would be handled through the arrangement of Medico. The customer server would get the
demand for the restorative claim by the expert particular people. The server combination would
include the arrangement of the particular organization of the operation joining and processing.

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3. Viewpoint and discussion per stakeholder
The process of the specific development had formed for the integration of the operations
and As-Is implementation for Medico. The project involves the development of the various
functions namely inbound claims, claim assessment, claim reconciliation, claim payment, and
notification services. The activities have been involved with the development of the sufficient
implementation of the processes. The following diagram would help in understanding the
process of Medico in terms of involved stakeholders,
Figure 1: As-Is Diagram for Medico showing the Stakeholders
(Source: Created by the author in Archi)
The process starts with the professional of specific professions requesting for the medical
claims and it would be processed through the system of Medico. The client server would receive
the request for the medical claim by the professional specific persons. The server integration

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would involve the deployment of the specific deployment of the operation integration. The
inbound claim would tend to form the initialization of the claim assessment and development.
The claim reconciliation would tend to form the analysis of the member fund and it would
comprise of sufficient deployment of the improved services. The claim settlement is developed
for integrating the payment option along with the claim approval operations. The notification
services would divulge the effective flow of claim notifications and services for the improvement
of the effective operations. The As-Is diagram as explained for the four major stakeholders
associated with the development model of operations in Medico is given below,
Board of Members: The board of members would be involved the effective deployment
of the operations such as managerial and decision making. The approval of the operations would
tend to evaluate the effective development of the operations. The board members have been
implied for accepting the inbound claims, involving the cool down of the claims, auditing the
member’s log, and process log. They form the most influential part as they have the high power
authority and it would involve the development of the effective operations. The board members
would comprise of all decision taking and supreme authority operations. The board members had
formed the system integration by the limitation of the improvement operations. The board
members are prone for developing the effective control strategies in the organization.
CIO: The CIO stands for Chief Information Officer and the person is involved in forming
the development of the operations for evaluating the development of the operations. The CIO
would be involved in major information technology development activities and information
processing. The executive would involve the function of the most senior executive in the
enterprise in terms of the computer systems and information technology for supporting the goals
of the enterprise. The CIO would be involved in most of the activities of the Medico including

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inbound claims, claim assessment, claim payment, and notification service. The CIO would be
responsible for evaluating the inbound claims by the customers in Medico, accepting the claim
assessment, fund claiming approval and member notification for the Medico.
Application Architects: The application architects develop the integration of the
operations and implying the safety and compliance of the development model. The application
architects are responsible for developing and managing the architect of the applications in the
Medico for involvement of the effective development tools. The deployment of the system
integration would involve the specific processing of the operations and it would comprise the
development of the effective processing in the organization. The application architects form the
analysis of the member history in claim assessment for the development of the system in forming
the operational processing. The application architects would divulge the deployment of the
improvement facilities. The architects would develop the reconciling activities of the members of
the Medico.
System Architects: The deployment of the effective processing involves the system
integration for developing the operations of the organization. The system architects would
involve for forming the development of the operations and architectural operations in the
organization. The system architects would involve the flagging of the members, reconciling of
the claims, and auditing the claim log in the organization. The system architects would tend to
develop the affective processing of the operations and it would result in forming the claiming of
the audit log for the formation of the effective flow of system integration. The deployment of the
system integration would involve the processing of the operational processing and development.
The payment operations would involve the influencing of the system integration and it would
involve the operations of the notification server.

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4. Conclusion
It can be concluded from the assignment that the development of the Enterprise architect would
involve the development of the effective operations for the development of the effective
processing. Hence, the development of the operations of Medico is supported by the
development of the effective processing in the organization. The board of members would be
involved the effective deployment of the operations such as managerial and decision making.
The approval of the operations would tend to evaluate the effective development of the
operations. The CIO would be involved in major information technology development activities
and information processing. The executive would involve the function of the most senior
executive in the enterprise in terms of the computer systems and information technology for
supporting the goals of the enterprise. The application architects are responsible for developing
and managing the architect of the applications in the Medico for involvement of the effective
development tools. The deployment of the system integration would involve the specific
processing of the operations and it would comprise the development of the effective processing
in the organization. The system architects would involve for forming the development of the
operations and architectural operations in the organization. The system architects would involve
the flagging of the members, reconciling of the claims, and auditing the claim log in the
organization.