UPMC: IDP Review Tool

Fall 2024 - Spring 2025

Tools: Microsoft Loop, Miro, Azure DevOps

Overview

Designed an AI-assisted document review experience for Medicare Enrollment Specialists to validate, correct, and submit HIPAA forms more efficiently. I partnered with business stakeholders to understand workflow challenges, define product requirements, and translate complex compliance needs into an intuitive interface.

Business Challenge

The existing OCR solution extracted data from HIPAA documents but lacked a centralized workflow for users to review, validate, edit, and submit records. This created opportunities for manual effort, processing delays, and data accuracy issues.

My Role & Contributions

  • Led discovery sessions with business stakeholders to understand operational goals, user needs, and workflow pain points.

  • Translated stakeholder input and business requirements into user workflows, interface requirements, and product decisions.

  • Defined key functionality needed to support document validation, including:

    • Side-by-side document comparison and extracted data review

    • Inline editing and correction workflows

    • Approval, rejection, and submission states

    • Unsaved changes notifications and user feedback mechanisms

    • AI confidence and system status indicators

  • Collaborated with cross-functional partners to ensure the solution balanced usability, accessibility, compliance, and technical feasibility.

  • Documented UX decisions and requirements to support alignment across design and development teams.

Solution Highlights

The final concept introduced a streamlined review workflow that enabled specialists to:

  • Compare extracted OCR data against source documents

  • Correct inaccuracies before submission

  • Track document status through clear workflow states

  • Confidently interact with AI-assisted functionality through transparency and feedback

Expected Impact

  • 30% reduction in document review and submission time

  • 60% reduction in manual data entry errors

  • Improved efficiency for approximately 20–50 Medicare Enrollment Specialists

Initial User Flow:

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