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Leading Benefits & Claims Administration Provider Improves Workforce Performance
NASCO, a healthcare claims administrator provider for BlueCross and BlueShield companies, deployed SumTotal’s integrated talent management platform to

claims healthcare  Benefits & Claims Administration Provider Improves Workforce Performance NASCO, a healthcare claims administrator provider for BlueCross and BlueShield companies, deployed SumTotal’s integrated talent management platform to streamline performance management processes and introduce efficiencies to better manage its workforce. It chose SumTotal for its easy-to-use technology and personalized approach to service and support. See how it achieved a 38% improvement in its performance management Read More
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Documents related to » claims healthcare


An Approach to HIPAA 5010 conversion
In 1996, Congress passed HIPAA to establish national standards for health care transactions. The main focus is to address patient privacy rights, health

claims healthcare  eligibility, claim status, referrals, claims, remittances, member enrollment and maintenance, and premium payments are all impacted by the regulation. This paper discusses HIPAA drivers, compliance schedule, changes, impacts on various stakeholders, benefits of adoption, and approaches to successful completion of this conversion. Read More
An ASP With Healthy Vitals
Healtheon/WebMD to Invest up to $100 million in InfoCure's VitalWorks.com Subsidiary.

claims healthcare  ASP With Healthy Vitals Event Summary InfoCure Corporation (Nasdaq:INCX) announced that Healtheon/WebMD (Nasdaq:HLTH) has agreed to invest up to $100 million in InfoCure's newly formed subsidiary VitalWorks.com. Healtheon/WebMD will immediately purchase $10 million in cash convertible preferred stock with an additional $90 million ($40 million in cash and $50 million of Healtheon/WebMD common stock) invested at the completion of VitalWorks.com's impending IPO. The investment is still subject to Read More
Microsoft Dynamics CRM: Much More Than Meets the Eye - Part 1
While Microsoft Corporation has not usually been that forthcoming about breaking down its revenues per individual product lines, during one earnings

claims healthcare  Intel . The study claims that compared to Oracle Siebel CRM Release 8.0 , Microsoft Dynamics CRM 4.0 reduced the hardware cost per user by a whopping 94 percent (i.e., US$0.65 vs. US$10.71). In addition, the Windows Intel processor architecture reduces power consumption by 30 percent vs.  Oracle Database  10g R2 on  Sun SPARC  Enterprise T5440 server running the  Sun Solaris 10 operating system . The benchmark report also touts multiple times better results for Dynamics CRM in terms of the number of Read More
SciQuest Acquires Assets of Spend Radar (and Rounds Out Its Spend Management Suite)
Now that Emptoris and Ariba are gone as independent spend management software suite vendors (acquired by IBM and SAP respectively), is SciQuest trying to take

claims healthcare  optimization vendor CombineNet. CombineNet claims to not be in a competitive situation with SciQuest, but in fact it complements SciQuest’s go-to-market approach. SciQuest has traditionally focused on industries where CombineNet does not (government, education, healthcare), and should view CombineNet as a strategic partner to move into new supply chain–intensive industries represented by its focus areas, to expand the market footprint. CombineNet will continue to partner with SciQuest to resell and Read More
RFID in Healthcare--A Whole Industry of Value
This article talks about recent and expected FDA regulations and how RFID can help meet those requirements while improving supply chain performance.

claims healthcare  in Healthcare--A Whole Industry of Value Introduction The FDA is not only responsible for the protection of citizens and consumers, but also is an active partner with industries such as food, pharmaceuticals, medical devices, etc., in pursuit of industry best practices. $49 billion of imports of pharmaceuticals enter this country every year. The pressure is on from consumers and industry to protect their own interests. These represent sometimes conflicting goals of protection. Protect the consumer, Read More
Bluecross Blueshield Eliminates the Blues of Forms Processing
Bluecross Blueshield of South Carolina (BCBSSC) had been using optical character recognition (OCR) technology for many years, but wanted to improve productivity

claims healthcare  productivity by automating its claims processing system from document and data capture to document storage. By integrating AnyDocCLAIM into its existing automated system, BCBSSC has increased its processing speed and averages more than 400 claims per hour. Read More
Health eConnex: Processing In-house with Complete Remote Control
What do you do with a growing number of customers and not enough office space for workers? Health eConnex, a health care claims-processing service, found the

claims healthcare  employees telework, processing 75,000 claims a day with 99.5 percent accuracy. Learn how the solution helped make manual data entry a thing of the past. Read More
Oracle Claims The Worst Is Over And Turns To KISS For A Boost Part 3: The Challenge of Gaining Competitive Advantage
Increased competitive pressure on many fronts, and lingering mixed perceptions about the 11i Applications suite, leaves Oracle at a crossroads for sustaining

claims healthcare  Claims The Worst Is Over And Turns To KISS For A Boost Part 3: The Challenge of Gaining Competitive Advantage Oracle Claims The Worst Is Over And Turns To KISS For A Boost Part 3: The Challenge of Gaining Competitive Advantage P.J. Jakovljevic - July 12, 2001 Event Summary  In June Oracle Corporation (NASDAQ: ORCL), the largest database provider and one of the largest providers of software applications for e-business, unveiled a new suite of online services aimed at capturing the small business Read More
Lawson Software Marches Over $300M Milestone
On August 3, Lawson Software, a provider of Internet-enabled business applications, announced it had won the largest contract in its history to extend its

claims healthcare  and providing appropriate interfaces, claims to be able to integrate with other e-commerce systems either on the front end or on the back end so that its customers' systems can communicate smoothly with other vendors, whether via the Web, e-mail, or even Fax, EDI, and spreadsheets. This, bundled with the fact that its product will run on almost any platform or database, prompts us to believe that its competitors, particularly mid-market ERP vendors, will be enormously pressured to replicate Lawson's Read More
Upp Technology
Upp Technology is a nationally recognized consulting and solutions provider for today's leading healthcare, government and commercial organizations. Our

claims healthcare   Read More
PeopleSoft Manufacturing - This Time For Sure?!
PeopleSoft claims that its next major release, PeopleSoft 8, which is due in a few weeks time, will allay persistent perceptions that PeopleSoft is still not a

claims healthcare  arena. Today, the company claims only a few hundred customers in the manufacturing market, with a focus on consumer packaged goods, high tech/electronics, and wholesale distribution. Despite persistent perceptions that PeopleSoft is still not a full-fledged player in manufacturing, Webb contends that PeopleSoft is heavily engaged in that industry, in particular with makers of consumer packaged goods. Release 8 will be very deep in CPG, he says. We feel we're going to be heads above the competition Read More
Enterprise Intelligence Tools Tame Business Knowledge Glut
Skila, Inc. is applying advanced eKnowedge tools to the pharmaceutical, biotechnology, and medical device industries. It’s the kind of offering every knowledge

claims healthcare  content. Market Impact Skila claims about 25 major customers, many of which have a number of divisions that license the Global Healthcare Intelligence Platform. Companies may also choose to employ Skila's platform as an enterprise-wide solution. While there are many ways for business-side professionals in the healthcare field to find information, Skila's per seat license price seems easy for companies to justify. Skila should be able to capture a significant percentage of the market before a true Read More
PeopleSoft Delivers Oxymoron In 'Supply Chain in a Box'
Users would do well to take PeopleSoft’s claims with a vein of salt and maintain realistic expectations regarding the challenges they will face in integrating

claims healthcare  and handheld devices. PeopleSoft claims the Box automates a large variety of business functions from managing sales leads to planning, filling orders, and collecting cash. Customers will be able to check the status of orders, account balances and payment histories, and place orders on-line. According to Mike Frandsen, Vice President and General Manager of PeopleSoft's Supply Chain Division, PeopleSoft Supply Chain in a Box is a completely new way of implementing an end-to-end supply chain solution. Read More
Changing the Paradigm in Healthcare Information Technology-Becoming Proactive and Moving Into the Home
Demands for care from an ageing population necessitate a paradigm shift across the health care ecosystem to support a sustainable approach to improving and

claims healthcare  the Paradigm in Healthcare Information Technology-Becoming Proactive and Moving Into the Home Demands for care from an ageing population necessitate a paradigm shift across the health care ecosystem to support a sustainable approach to improving and integrating high-quality patient care across multiple stakeholders. Providers can lead these initiatives by being proactive, reaching out to their patient base, and facilitating care in the home. Read about how information technology can enable this Read More

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