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Software Functionality Revealed in Detail
We’ve opened the hood on every major category of enterprise software. Learn about thousands of features and functions, and how enterprise software really works.
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Visit the TEC store to compare leading software solutions by funtionality, so that you can make accurate and informed software purchasing decisions.
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 claims administration health insurance


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 administration health insurance  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.

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Software Functionality Revealed in Detail

We’ve opened the hood on every major category of enterprise software. Learn about thousands of features and functions, and how enterprise software really works.

Get free sample report
Compare Software Solutions

Visit the TEC store to compare leading software by functionality, so that you can make accurate and informed software purchasing decisions.

Compare Now

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 important information about the documents, to the documents (known as metadata). Most systems provide workflow engines to design and support document creation, publication, and usage. DMS solutions are often used by insurance and health care industries, government bodies, or other organizations processing high volumes of documents. 

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Documents related to » claims administration health insurance

What Is the Value Proposition of Support and Maintenance?


Mature systems in any enterprise require an approach different from newer implementations to software support—one that focuses on customization, interoperability, and performance support. Yet despite this fact, most vendors continue to offer the same one-size-fits-all models of support.

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Vendors Jostle and Profess Economic Stimulus Readiness - Part I


At Deltek’s Insight 2009 user conference last May, the host software vendor did a notable thing. Namely, besides merely putting on an all-too-common multi-day conference chock full of product announcements, functional breakout sessions, and industry best-practice discussions, Deltek decided to fill a market need by convening a separate “track” that was dedicated to

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HIPAA-Watch for Security Speeds Up Compliance Part One: Vendor and Product Information


HIPAA-Watch for Security is a tool designed to guide organizations through the risk analysis required by the Health Insurance Portability and Accountability Act (HIPAA) compliance process (US). Relevant Technologies, a leading security research and advisory firm, evaluated HIPAA-Watch for Security to verify how well it performed in guiding organizations through the HIPAA security risk analysis process.

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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 software that users could change relatively easily. TEC Principal Analyst P.J. Jakovljevic takes a close look at Pega BPM and how this customer-centric software with its unique approach to process execution and modeling has contributed to Pegasystems’ success.

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Case Study: Community Health Plan of Washington Improves Access to Health Care with Nimble Storage SmartStack for Business-Critical Applications


Community Health Plan of Washington faced aging information technology (IT) infrastructure, limited rackspace, and a tight budget. In this real-world case study, learn how it got high-performance storage at half the cost of upgrading its existing storage area network (SAN), while dramatically simplifying storage administration.

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Amerisure Mutual Insurance Company


With 10 remote office locations spread across nine states, Amerisure was in need of a communications platform that would enable the company to enhance the distribution of information to employees. Employees located in satellite offices, with no direct access to the home office, can feel disconnected from corporate headquarters’ operations and activities. Amerisure needed to communicate to employees in a timely manner that would allow the flow of accurate, important information, whether that data be employee-specific, such as salary, job, or benefit information, or company news and updates. In addition to a centralized communication platform, the company wanted heightened management of its workforce through the use of business intelligence tools that would allow it to track trends and have improved monitoring capabilities for each location.

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Case Study: Trillium Health Center


For Trillium Health Center, one of Canada’s largest community hospitals, getting the right information to the right people at the right time is essential to providing the best patient care. But the center’s dashboard system was not providing the needed insight. With Cognos, the center developed an initiative to integrate all data for faster, more accurate information. Learn more about the strategy and the benefits.

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Occupational Health and Safety Amendment Act-Violence and Harassment in the Workplace: An Overview to Compliance


Bill 168 was enacted and passed on December 15, 2009 in Ontario (Canada). It addresses violence and harassment issues in the workplace, and the bringing of domestic violence into the sphere of work. This document outlines steps employers must take to comply with Bill 168.

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TEC Helps Companies Compare, Select, and Evaluate Health Care Information Management Systems


Enterprise software analyst firm Technology Evaluation Centers (TEC) recently launched its Health Care Information Management Systems (HCIMS) Evaluation Center, to help health care professionals, consultants, and decision makers compare the most qualified HCIMS systems based on their own, unique priorities.

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Microsoft Health and Microsoft Band Make Their Debuts


Microsoft Corporate Vice President Todd Holmdahl has announced a new platform called Microsoft Health, which includes a cloud service for consumers and the industry to store and combine health and fitness data for better insight. Microsoft Band was also recently launched; it's a smart wearable device that provides a balance of fitness and productivity benefits.

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