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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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 health care insurance quote claims


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 care insurance quote claims  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

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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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Rules, Tools, Policies, and Best Practices for Compliance in the United States


A strategic compliance program can help employers in the United States (US) reduce the likelihood of litigation, regulatory investigations, security breaches, privacy violations, and other electronic disasters. Find out what it takes to make a compliance program succeed, and learn the importance of establishing clearly written rules, formal employee education, and effective hosted-services solutions right from the start.

health care insurance quote claims  organization operate within the health care arena, represent medical clients, or otherwise provide services or products to health care companies? If so, you are legally required by the Health Insurance Portability and Accountability Act (HIPAA) to protect the privacy of patient information. HIPAA requires healthcare organizations and their suppliers to safeguard email messages and attach- ments that contain electronic protected health information (EPHI) related to a patient's health status, medical care, Read More

Welltok CaféWell to Leverage IBM Watson for Consumer Health Management—Dave, Did You Eat Your Vegetables Today?


Welltok, Inc., a provider of social health management solutions, announced a partnership with IBM to power its CaféWell product with IBM’s Watson. The unique solution will be called CaféWell Concierge, powered by IBM Watson. This collaborative solution leverages the unique capabilities of CaféWell, Welltok's flagship Health Optimization Platform and IBM's cognitive computing system, IBM Watson.

health care insurance quote claims  IBM Watson for Consumer Health Management—Dave, Did You Eat Your Vegetables Today? Welltok, Inc., a provider of social health management solutions, announced a partnership with IBM to power its CaféWell product with IBM’s Watson. The unique solution will be called CaféWell Concierge, powered by IBM Watson. This collaborative solution leverages the unique capabilities of CaféWell, Welltok's flagship Health Optimization Platform and IBM's cognitive computing system, IBM Watson.   CaféWell Read More

6 Reasons Why You Should Care About B2B Integration Technology


What does it matter if your IT department uses FTP, SOAP, REST, or AS/2? How does an ESB impact the business? What s all this talk about SOA? Even the most tech-savvy of supply chain executives can be overwhelmed by the alphabet soup used to integrate business processes. So why should you care? Here’s six reasons.

health care insurance quote claims  Reasons Why You Should Care About B2B Integration Technology What does it matter if your IT department uses FTP, SOAP, REST, or AS/2? How does an ESB impact the business? What s all this talk about SOA? Even the most tech-savvy of supply chain executives can be overwhelmed by the alphabet soup used to integrate business processes. So why should you care? Here’s six reasons. Read More

FICO Health Care Analytics


With gold-standard custom analytics, FICO delivers powerful information and a deep understanding of the health care industries to identify potential high-value customers, design highly-targeted campaigns, create accurate and detailed audience segmentation, and identify motivating tactics and messages to yield desired outcomes.  

health care insurance quote claims  Health Care Analytics With gold-standard custom analytics, FICO delivers powerful information and a deep understanding of the health care industries to identify potential high-value customers, design highly-targeted campaigns, create accurate and detailed audience segmentation, and identify motivating tactics and messages to yield desired outcomes. Read More

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.

health care insurance quote claims  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. Read More

System Health Check




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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 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 process.

health care insurance quote claims  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 process. Read More

Quote-to-Order (Q2O) Systems Software Evaluation Report


Quote-to-order (Q2O) solutions (sometimes known as configure, price, and quote or CPQ) enable manufacturers to mobilize their mass customization initiatives. These systems can reduce time-consuming quoting and ordering processes, decrease unit costs, and lower sales costs. Q2O suites can further help enterprises increase sales effectiveness across all channels. These solutions help companies that sell complex products and services shift their focus to customer-facing sales and service issues.

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How Background Screening Can Protect Small Health Care Providers and the Patients They Serve


With the recent economic recession, small business owners who providing health care services have undertaken steps to reduce unnecessary overhead and expenses. But health care providers recognize the importance of carefully vetting their employees before trusting them with the welfare of their patients. This industry brief outlines the risks that arise from bad hires and how careful background screening can mitigate those risks.

health care insurance quote claims  Screening Can Protect Small Health Care Providers and the Patients They Serve With the recent economic recession, small business owners who providing health care services have undertaken steps to reduce unnecessary overhead and expenses. But health care providers recognize the importance of carefully vetting their employees before trusting them with the welfare of their patients. This industry brief outlines the risks that arise from bad hires and how careful background screening can mitigate those Read More

SAP To Take Care Of All Suppliers


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health care insurance quote claims  To Take Care Of All Suppliers Event Summary On January 9, SAP Markets, Inc. , the Internet exchange applications providing company of the SAP AG group of companies (NYSE: SAP), which is a leading provider of business software solutions, announced the availability of mySAP Supplier Relationship Management (mySAP SRM) , an SAP Markets solution designed to manage supplier relationships in a comprehensive manner that should improve the competitiveness and profitability of a value chain. According to the Read More

Westwood Insurance Chooses MAS 500 for Integration Capabilities


For ten years, California (US)-based Westwood Insurance used an off-site bureau for all accounting, financial, and insurance data management. In 1996, the rapidly growing division of the century-old company decided to bring its systems in-house in order to improve productivity and cost effectiveness. After an evaluation of three accounting systems, the company turned to MAS 500.

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Quote-to-Order (Q2O) Systems


Quote-to-order (Q2O) solutions (sometimes known as configure, price, and quote or CPQ) enable manufacturers to mobilize their mass customization initiatives. These systems can reduce time-consuming quoting and ordering processes, decrease unit costs, and lower sales costs. Q2O suites can further help enterprises increase sales effectiveness across all channels. These solutions help companies that sell complex products and services shift their focus to customer-facing sales and service issues.

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The Challenge of Securing Servers in a Health Care Environment


Server security is a key issue for the health care industry. Between an expanding body of regulations and the need for 24/7/365 system availability, it’s essential to address vulnerabilities as soon as possible. But with constant new threats, protecting your server isn’t easy. Learn about the special needs of server security in the health care environment, and how you can have comprehensive protection with no down time.

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Time and Attendance for the Health Care Industry


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health care insurance quote claims  and Attendance for the Health Care Industry Time and attendance software collects, tracks, and reports employee hours worked through automated time clocks or other means. Read More