Systems and methods for benefit plan quality assurance and certification

A system for testing a benefit plan file for quality assurance, the system comprising:

• a test adjudication engine, configured to process claims in accordance with the benefit plan file, each of the claims having one or more parameters, wherein the benefit plan file is a compiled computer object loadable onto the test adjudication engine so as to configure the test adjudication engine to process claims in accordance with the benefit plan file, and wherein the benefit plan file comprises data structures and metadata mapping execution cross-dependencies for function, transaction and service calls of benefit plan components;
• a database, configured to store the benefit plan file and quality assurance data, the quality assurance data including:
• (a) historical claims, each historical claim having an associated historical adjudication, and (b) new claims, each new claim not having an associated historical adjudication;
• and
• an interactive dashboard configured to:
• allow a user to batch claims for processing by the test adjudication engine, from among the historical claims and the new claims, based on the one or more parameters, and
• present a comparison of the adjudicated batched claims to the historical adjudications.