Amela
CASE STUDY
Carelink Co., Ltd.
Carelink Co., Ltd. — Platform Build Story
ℹ︎ For confidentiality, company names, project names, and system images have been replaced with pseudonyms and mocks.

Detecting nursing-care billing errors —built in-house from the ground up.

SeikyuGuard is a business platform that supports nursing-care billing for care providers. In a multi-layered organization of Department → Group → Facility → User, it centrally supports billing operations across several hundred sites nationwide.

Cross-file reconciliation, automated deadline operations, company-wide progress visibility, and multi-layered access control — the story of building, in-house and from scratch in 14 months, a new platform that satisfies all four axes required for nursing-care billing at once.

Pre-submission mismatch detection
Automated
Reconcile with 10 rules
Run check
Sched.· Auto
Runs on the monthly deadline
Rejection rate
1.4% target
Downward trend
Reminder email
Auto send
Alerts to unfinished facilities
S SeikyuGuard
June 2024
OK 38
Check complete
Needs review 5
Mismatch detection
Unfinished 2
Deadline near
Midori Home Care
OK
Komorebi Geriatric Health
Insured number mismatch
Needs review
Umikaze Visiting Nursing
In progress
Download error list
Submit to the NHIA
01
CLIENT
About the client

Carelink Co., Ltd., one of Japan’s leading players driving nursing care and healthcare.

Carelink Co., Ltd. operates nursing-care services at several hundred sites nationwide — from home-visit care, day services, geriatric health facilities, and special nursing homes to disability welfare. In a multi-layered organization of Department → Group → Facility → User, each facility handles its daily nursing-care billing.

Nursing-care billing is normally paid two months in arrears, and when the NHIA returns a claim, payment is delayed by several more months. Large volumes of billing data must be prepared accurately for every monthly deadline, so billing accuracy directly affects management.

Several hundred sites
Operating facility scale (nationwide)
Multi-layer
Department → Group → Facility → User
10+
Cross-check rules
BUSINESS FLOW — The billing-check flow
STEP 1
File import
Import multiple CSV/Excel files such as the billing checklist, transmission data, and public-expense info
STEP 2
10-rule auto reconciliation
Cross-reconcile insured numbers, cost calculations, surcharge codes, and more
STEP 3
Mismatch report & correction
Classify as OK / Needs review / Error, then correct at the facility
STEP 4
Submit to the NHIA
Eliminate mistakes before submission, aiming for zero rejections
02
CHALLENGE
Design challenges to solve

The four structural requirements demanded of the platform.

None of these were technology-selection problems but business requirements tied directly to billing accuracy, deadline compliance, cash flow, and organizational control. A new build from scratch required a design that “satisfies them all at once.”

Without automating cross-file reconciliation, mistakes slip through
Matching the billing checklist, transmission data, and public-expense info by handMonthly thousands of rows × manual work, and mistakes in insured numbers and cost calculations remain.
If mismatches aren’t eliminated before submission, claims get rejected
Submitting to the NHIA with errors leads to rejection,Each rejection delays payment by about two months. This squeezes cash flow.
Without systematizing deadline operations, they become person-dependent
If running the monthly-deadline checks and reminders is left to individuals,Several hundred sites / progress invisible, leaving some facilities unfinished.
A wrong permission design breaks cross-organization control
If the multi-layered permissions of Department → Group → Facility → User are left ambiguous,Access control & auditability no longer holds together.
03
ARCHITECTURE
The architecture we built together

Turning billing operations into a “foundation that never stops” across four domains.

Cross-file reconciliation, large-volume file processing, automated deadline operations, and multi-layered access control — we built the four domains required for nursing-care billing in-house from scratch. We ended person-dependent visual checking and moved to rule-based automated reconciliation.

Amela
EXECUTION
14 mo
Duration
84 PM
Total effort
Domain ①
Multi-file reconciliation
✕ Challenge
Need to cross-reconcile the billing checklist, transmission data, and public-expense info
✓ Solution
Auto-reconcile from 10+ perspectives
The rule engine detects mismatches in insured numbers, cost calculations, and surcharge codes
Domain ②
Large-volume file processing
✕ Challenge
Need to stably import thousands of rows of CSV/Excel and output reports
✓ Solution
Import & report-output pipeline
Large files are stored in the cloud with bulk ZIP download support
Domain ③
Automated deadline operations
✕ Challenge
Need to reliably run checks for the monthly deadline and chase up unfinished work
✓ Solution
Scheduled runs + auto alerts
Runs checks automatically on schedule and sends reminder emails to facilities that haven’t finished
Domain ④
Multi-layered access control
✕ Challenge
Need to control Department → Group → Facility → User permissions in a distributed way
✓ Solution
Multi-layered permissions + enterprise SSO
Controls cross-facility access via SAML2 enterprise SSO
Frontend
WWeb UI (Blade / jQuery / axios equivalent)
Backend
Laravel PHP XExcel import & report output
Infra & auth
MySQL AWS S3 SSAML2 SSO
04
IMPACT
The value the platform creates

Carelink Co., Ltd.’s “zero-rejection operation” accelerates.

This foundation continuously produces business outcomes — billing accuracy, deadline compliance, and stable cash flow — rather than technical metrics.

A foundation that detects mismatches before submission
Automated reconciliation with 10 rules eliminates, before submission, mistakes that are easy to miss by hand.
Deadline operations protected by a system
Scheduled runs and auto alerts keep deadlines without leaving it to each facility.
A design that visualizes company-wide billing status
HQ can grasp per-facility progress and rejection rates on a single screen.
Can focus on core nursing-care work
Automating reconciliation lets the front line spend time on user care.
STAKEHOLDER
Office staff
The billing front line
✕ Files are matched by eye, so mistakes are easy to miss
At Carelink Co., Ltd.,
✓ Auto-reconcile with 10 rules and detect mismatches before submission
📈 Business impact
Avoid payment delays from rejections
STAKEHOLDER
HQ management
Company-wide billing oversight
✕ Per-facility progress is invisible, so deadline management tends to depend on individuals
At Carelink Co., Ltd.,
✓ Centrally visualize check progress for all facilities at HQ
📈 Business impact
Higher deadline-compliance rate
STAKEHOLDER
Accounting / Finance
Cash-flow management
✕ When a claim is rejected, payment is easily delayed by several months
At Carelink Co., Ltd.,
✓ Continuously lowers the rejection rate and stabilizes cash flow
📈 Business impact
Cash-flow stabilization
STAKEHOLDER
NHIA handling
Billing-submission contact
✕ Format and digit-count errors easily get claims sent back
At Carelink Co., Ltd.,
✓ Format checks fix format errors before submission
📈 Business impact
Fewer claim rejections
05
DEMO
Three scenarios

Experience Carelink Co., Ltd. through a working demo.

FLAGSHIP
Office staff
Billing check
  • · Import multiple files and auto-reconcile with 10 rules
  • · Instantly classify OK / Needs review / Error
  • · End-to-end from correction to NHIA submission
Launch demo →
Office staff
Error list & correction
  • · Cross-facility view of all mismatches
  • · Filter by type
  • · Review line items → correct & resubmit
Launch demo →
HQ management
HQ dashboard
  • · Centrally visualize per-facility check progress
  • · Rejection-rate trend
  • · Auto-alert delivery status
Launch demo →