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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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PeopleSoft Building Muscles To Overcome The Rough Patch Part 1


The year 2001, which was an exceptional year of financial performance for PeopleSoft, including record total revenue, record profit, and more than $500 million of generated cash, might have become its liability as well, as it might be quite difficult to repeat.

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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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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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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 flagship enterprise resource planning and extensions solutions, so that customers can better align HCM initiatives with overall business strategy.

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Electronic Medical Records: An Introduction


Electronic medical records (EMR) serves a niche market. This software caters specifically to health care professionals working in clinics, private practices, and hospitals. EMR software came about to increase overall patient care and communication between health care staff and departments.

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SAP Claims Big Gains In The Low-End Battleground


SAP, traditionally regarded as too cumbersome and costly for small or midsize enterprises, has recently been announcing stellar increases in sales and acceptance of its Internet-based mySAP.com by smaller companies. We believe that the incumbent smaller vendors as well as other Tier 1 vendors should prepare for a siege.

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How Can Insurance Carriers Retain and Reward True Producers?


The enterprise incentive management and sales performance management market is evolving rapidly. Callidus Software remains the vendor of choice for some of the largest companies in the world. The vendor is aiming to cement its leadership within the insurance sector.

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What Is the Health of My Project?


We all know about the three monkeys: See no evil, hear no evil, speak no evil. But as project managers, we need to control our projects. In order to do this, we must ignore the advice of the three monkeys. We need to see the potential for cost overruns, hear about the risks, and speak about the likelihood of failure.

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Preparing Yourself for the EHR Mandate in Massachusetts


In a climate of economic crisis, federal and state governments are examining ways to evolve the health care system. One way is to adopt an electronic health record (EHR) system. A bill is in effect in the state of Massachusetts to facilitate EHR implementation in all doctors’ offices and hospitals by 2015. To find out how the EHR bill will affect administrative procedures and practices statewide, read this doctor’s guide.

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AlphaMedica Gets Clean Bill of Health with QuickBooks Enterprise Solutions


The medical marketing agency AlphaMedica, based in New York, New York (US), is a fast-growing business. It needed an accounting system that could keep up with a flurry of activity, generate quick payments and reports, and link smoothly to the in-house systems used to manage the more specialized aspects of its business. For help, it turned to QuickBooks Enterprise Solutions.

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