Case Study

Leading Digital Health Company Scales Digital Wellness Programs with Seamless QA and Automation

Trigent’s Domain-Driven QA Approach enables 40% Faster Releases and 70% Fewer Production Bugs

Healthcare
QE

About the Client​

A U.S.-based digital health company headquartered in Charlotte, NC, our client delivers integrated health content, prescription savings, and virtual care services through a suite of digital platforms. The mission: enable smarter health decisions, improve access to affordable care, and support everyday wellbeing. Nearly 100 million people engage with these platforms every month.

Business Challenge​

As our client rapidly expanded its digital footprint, it faced a rising complexity in maintaining consistent product quality across multiple programs and platforms. With a range of consumer-facing web and mobile applications, each serving distinct user journeys, the existing QA processes began showing signs of strain. New programs added complexity across applications, workflows, and integrations. The addition of Salesforce Health and Marketing Cloud capabilities introduced further functional depth and system interdependence.

While releases had to be fast, flawless, and secure, the existing fragmented QA framework and lack of automation began causing delays and risks. The client needed a partner who could bring domain-driven QA insights and a structured QA model to introduce automation, scale test coverage, and deliver reliable, compliant releases with greater speed and confidence.

Trigent Solution

Trigent stepped in with a holistic QA strategy tailored to the regulatory, performance, and usability demands of healthcare applications. We began with manual testing for programs like Real Appeal, RADP, DWC, and Quit For Life. We introduced mobile testing on real and virtual devices via Sauce Labs for broader coverage. Our team also performed accessibility audits, initially handled by a separate client team, to maintain inclusivity standards.

Trigent accelerated release cycles by prioritizing automation-ready test cases, automating high-impact regressions, and proactively building robust, reliable test suites. When Salesforce Health and Marketing Cloud functionalities were introduced, we provided manual and automation QA, ensuring smooth patient journeys, care programs, and provider workflows.
Manual QA evolved into scalable automation using tools like WebdriverIO, Playwright, and TestNG, with test management streamlined through qTest. By using AI tools across manual and automation testing, we accelerated test case design, bug reproduction, script generation, and documentation.
image-casestudy-the-QA-blueprint-behind-a-100-million-user-health-platform

Client Benefits

  • Achieved a 45–60% reduction in production defects by implementing early-stage QA, continuous integration, and real-device testing
  • Reduced regression testing time by up to 35%, accelerating release cycles for web, mobile, and enterprise platforms
  • Automated 50–65% of regression test cases, improving coverage while reducing time-to-test
  • Reached automation coverage levels of 60–75% across key programs, easing manual QA workload
  • Maintained a defect escape rate below 1% and a bug rate under 0.5 per release, improving overall release quality
  • Consistently sustained 4.5–4.8 average mobile app ratings across multiple products over several release cycles
  • Drove a 10–15% increase in user enrollment, contributing to stronger program adoption and growth

Thus, Trigent’s domain-driven QA strategy empowered the client to scale its digital wellness programs without compromising on quality, compliance, or release velocity.

Technology Stack

  • Web & Mobile Testing Tools: Playwright, Charles Proxy, Mirroring 360, NVDA, Insomnia
  • Test Scope: Web Manual QA, Web Automation, Mobile Manual QA, Backend/API Testing, Salesforce Manual QA, Salesforce Automation
  • Devices & Platforms: Mobile devices with varied OS, processors, and manufacturers