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PegaWorld 2011 Revisited
How did Pegasystems avert disaster and become one of the fastest growing technology companies? The business process management (BPM) vendor started delivering

health insurance claims processing  earlier, financial services, insurance, health care, and telecommunications and media have traditionally made up the majority of our clients, but we have seen growth and opportunity in the areas of life sciences, travel and hospitality, oil & gas, retail, manufacturing/warranty management, and other industries in recent years.  PJ: Your CEO talks about your “unified” solutions vs. competitors’ “integrated” solutions? Can you please explain the difference between the two? KA: We believe that a t Read More...
Document Management System (DMS)
Document management systems (DMS) assist with the management, creation, workflow, and storage of documents within different departments. A DMS stores documents in a database and associates importan...
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Documents related to » health insurance claims processing


An Unusual Human Capital Management Suspect
With Infor Human Capital Management (HCM) 3.0, Infor has combined transactional and strategic human resources functionality with planned integration to its

health insurance claims processing  compliance with the US Health Insurance Portability and Accountability Act (HIPAA) and Family and Medical Leave Act (FMLA). Infor Payroll is also quite functional with support for payroll and year-end accounting, including compliance with US Equal Employment Opportunity (EEO) laws, and the US W2, 1099, and 1099R forms. It also includes compliance with Canadian T4, T4A, and other germane forms. There is a plethora of earnings and deductions combinations, as well as support for basically any type of payroll Read More...
The Wizardry of Business Process Management - Part 3
Part 1 of this blog series provided a lengthy discussion about business process management’s (BPM's) necessary parts and parcels, and the software category’s

health insurance claims processing  of Minnesota , Group Health Cooperative , HealthNow New York , Kaiser Foundation Hospitals (Kaiser Permanente ), and Wellpoint . Pega’s healthcare industry involvement has resulted in solutions to help these customers close execution gaps and improve the following processes: Automated Underwriting; Sales Renewals; Appeals & Grievances; Consumer Directed Healthcare (CDHC) offerings;  Facilitation; Authorization Management; Small- and Large-Plan Enrollment and Servicing; Disease/Care Management, and so Read More...
Oracle Renders Its PLM Outline Part One: Event Summary
Although its PLM solutions will not likely be the

health insurance claims processing  CFR Part 11 regulation), Health Insurance Patient Portability Act (HIPAA), a guideline for managing patient information, and Sarbanes-Oxley Act (SOA), the new legislation for accounting procedures, while the Oracle Financials suite also now leverages eXtensible Business Reporting Language (XBRL), and XML-based standard for financial reporting. Also, rather than traditionally delivering a horizontally broad and functional product and relying on its technically savvy sales force to push the sales of appli Read More...
Oracle's Product Future: What Can the Past Tell?
Oracle does not have a history of major acquisitions, let alone experience with the subsequent integration efforts. Run by a management team that has never

health insurance claims processing  maintenance becomes analogous to health or car insurance. All customers end up paying increased fees when large claims are made by only a few beneficiaries, regardless of whether they make a claim themselves. The logical response of affected customers is to shop for comparable coverage at a lower price instead of seeing their dollars siphoned for the benefits of others. It is not likely that PeopleSoft's customers will ebulliently jump to Oracle's proposed migration in droves (except, perhaps, for some tr Read More...
Epicor Claims The Forefront Of CRM.NET-ification Part 1
By harnessing .NET possibly more zealously than its creator Microsoft’s Great Plains and Navision enterprise counterparts, and while difficult market conditions

health insurance claims processing  Epicor,CRM.NET-ification Part 1,CRM.NET,Epicor Software Corporation,.NET CRM architecture,Epicor's product lines,Clientele CRM.NET Suite,Clientele Customer Support 8.0,ClienteleNet,Clientele CRM product,CRM functionality,customer relationship management fucntionality,Microsoft .NET Platform,customer service et support Read More...
How Can You Top 95 Percent Automation Levels in Processing Loan Applications?
At any given time, one in four mortgage providers is looking to upgrade its loan origination system. The reason: its current system provides low rates of

health insurance claims processing   Read More...
A Solution to Data Capture and Data Processing Challenges
Organizations are relying more and more on customer information to drive business processes. You probably spend a lot of time trying to make sure you get the

health insurance claims processing   Read More...
Case Study: Vermont Information Processing, Inc.
Early in 2004, software service provider Vermont Information Processing (VIP) saw an opportunity to help beverage producers drive down costs, improve

health insurance claims processing   Read More...
SAP Case Study: Health Care
Héma-Québec manages the collection and distribution of blood and blood products for the province of Quebec (Canada). As Héma-Québec worked to enhance

health insurance claims processing  Case Study: Health Care Héma-Québec manages the collection and distribution of blood and blood products for the province of Quebec (Canada). As Héma-Québec worked to enhance availability and quality, company leaders identified a need to make changes in the organization’s information technology (IT) systems. In June 2001, the company decided to implement a new system for the procurement and distribution of fractionated blood products. Read More...
Traceability in Food and Beverage Processing
Food safety has been top-of-mind for both consumers and industry executives for a number of years. Clearly traceability plays a large role in overall food

health insurance claims processing  Plex Online,food processing,processing food,traceability,food process,food processing equipment,processing of food,food processing industry,food processing jobs,food processing machinery,food supply chain,food processing india,food processing plant,process of food,food processing technology Read More...
Electronic Health Records as a Platform for Change
The use of electronic health records (EHR) has increased rapidly over the past few years, and the healthcare industry is turning to using this valuable

health insurance claims processing  Health Records as a Platform for Change The use of electronic health records (EHR) has increased rapidly over the past few years, and the healthcare industry is turning to using this valuable infrastructure as a transformational platform to deliver higher quality, more efficient, and patient-centric care. This white paper argues that mapping the capabilities of EHR systems and the availability of EHRs as data sources to the strategic objectives of a healthcare organization—both business and Read More...
SAS for Health Care Providers
SAS solutions for the health care industry were developed with the help of skilled health care experts. SAS solutions empower users to integrate volumes of

health insurance claims processing  for Health Care Providers SAS solutions for the health care industry were developed with the help of skilled health care experts. SAS solutions empower users to integrate volumes of data and identify and act upon the right performance measures. By allowing users to analyze and report this information in a variety of dimensions, SAS gives organizations the strategic intelligence to make sound business decisions. Read More...
Apria Health Care Moves to ForceTen by Eedo Knowledgeware
Delivering full-service home care services to over 1.5 million people in the US was challenging enough for Apria Healthcare. Added to that was the need to meet

health insurance claims processing  Health Care Moves to ForceTen by Eedo Knowledgeware Delivering full-service home care services to over 1.5 million people in the US was challenging enough for Apria Healthcare. Added to that was the need to meet government and industry regulations and maintain the highest standards of skills and knowledge. To overcome these challenges, Apria implemented a learning content management system (LCMS) that has helped the company deliver the rapid training it was looking for. Read More...
Baystate Health Selects Awarepoint Real-Time Location System (RTLS)
Awarepoint Corporation announced an agreement with Baystate Health to install the Awarepoint real-time location system (RTLS) at the first of the health system

health insurance claims processing  Health Selects Awarepoint Real-Time Location System (RTLS) Awarepoint Corporation announced an agreement with Baystate Health to install the Awarepoint real-time location system (RTLS) at the first of the health system’s three hospitals. The initial deployment will occur at Baystate Medical Center. This deployment will cover 1.3 million square feet and track 3,000 assets. The installation at Baystate facilities will focus on tracking and managing assets. Awarepoint Corporation delivers its Read More...

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