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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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 managed care claims processing procedures


Lawson Software-IPO and Several Acquisitions After Part Two: Retail and Professional Service Initiatives
Lawson is sticking to its focus on selected vertical markets, but going forward the tenets of that focus will likely be more finely tuned. Namely, the vendor

managed care claims processing procedures  Lawson SPO is being managed as a product, although Lawson still has professional or consulting services as an emerging market vertical along with financial services and other strategic markets. In any case, regardless of whether it is a market or a product per se, the vendor has been doing combined in-house product delivery, bundled with a number of value-adding partnerships. To that end, in April, Answerthink, Inc., a business and technology consulting firm, and Lawson announced a partnership designed

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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 » managed care claims processing procedures

ERP Systems Buyer’s Guide


The implementation of an enterprise resource planning (ERP) system to automate business processes is a strategic investment. Buying the right system and choosing the best vendor for you are critical to a successful ERP implementation. As a decision maker, you need to quickly identify your ERP requirements, effectively communicate these needs to vendors, and successfully compare various product alternatives. Learn how.

managed care claims processing procedures  PLM system leverages information managed by other enterprise systems. This bi-directional connection between PLM and other systems is critical for enabling a seamless flow of information among different functional groups involved in product development, particularly engineering and manufacturing.   Industry-Specific ERP Based on the industry segment you belong to, you should explore ERP solutions available in the market to address your sector-specific requirements. This is step two in the product Read More

It’s About Process (or The Ability to Be Responsive)


Because business processes are often communicated in an ad hoc and unregulated manner, it can be difficult to standardize processes across organizations, particularly larger ones. TEC analyst PJ Jakovljevic takes you on a guided tour through workflow automation—or business process management (BPM)—and shows how these solutions can help ensure standardized adoption of processes, with highlights on several key BPM vendors.

managed care claims processing procedures  Therefore, priorities are often managed on an inefficient (and often redundant or conflicting) one-to-one basis. The advantages of the new support model, with ResponsAbility providing a single repository of all cases (in a hub-and-spoke manner), start with collaboration and the ability for all parties to both instantly contribute to the case/task/issue and have instant visibility into the case status. Also, new resources that include clients, Webcom employees and third-parties (partners) can all Read More

CRM without Compromise: A Strategy for Profitable Growth


When implementing customer relationship management (CRM), organizations often lose sight of their customers and focus on efficiency gains instead of looking at the bigger picture from a customer perspective. But organizations that can build a business-centric system flexible enough to quickly respond to changing customer needs will have a sustainable competitive advantage and enjoy profitable growth for years to come.

managed care claims processing procedures  this: Key accounts are managed by account teams; orders from most of them are transmitted via electronic data interchange (EDI) , and they have a preferred line to the customer service center. Midsize customers are assigned to sales reps that take care of multiple customers in a given territory; while orders in this segment used to come in mainly via fax or phone, ordering online has become an increasingly popular option. Channel partners reach out to the large number of smaller customers, maintain close 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 right information to the right people at the right time—but is your data capture process as efficient as it could be? Learn about the issues surrounding data capture and data processing, and about a solution designed to help you address specific processing problems.

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ERP System for Health Care


A U.S.-based regional healthcare support network was looking for a distribution enterprise resource planning (ERP for distribution) solution for its medical supply and equipment sales division, including a financials module to be used by other divisions. The news system was intended to replace an in-house legacy system that had reached its end-of-life stage.
To find the right solution, the company turned to TEC for a software evaluation and selection project.
Starting with a list of 10 qualified solutions, TEC issued requests for information (RFIs) to each of the vendors. Based on the RFI responses, the company was able to compare the 10 solutions and develop a shortlist of the four most promising ones for in-depth evaluation.
TEC also helped the company collect market data, and prepare scripts for a formal demonstration session—a key component of the final selection process.



managed care claims processing procedures  System for Health Care Company Profile Industry:   Health Care Annual Revenue Range:   $51 to $250 million Company Size:   251 to 1,000 employees Number of Sites:   1 site Approx. Num Of Users:   26–50 users|51–100 users Region:   Africa Asia Southeast Asia (including the Far East and Japan) Europe (east and south) Europe (west and north, including the United Kingdom) Latin America (Mexico, Central America, and South America) North America (Canada and the United States) Middle East Oce 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 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.

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CTS Cement Corporation Solidifies Automated Invoice Processing with AnyDocINVOICE


CTS Cement Corporation, a manufacturer of professional-grade construction cement, operates out of 15 facilities across the US. As the company grew, it needed to address the inefficiencies of its accounts payable invoice processing, which was being keyed manually into two different systems. With this lack of connectivity between systems, CTS turned to AnyDocINVOICE solution and now indexes nearly 2,500 invoices per month.

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Getting Your Data, Processes & Procedures GFSI-Ready


Quality compliance required of food companies is changing, and tightening, in recent years. Many large customers are requiring that their suppliers certify to GFSI standards, and companies also face the daily barrage of internal quality procedures across production and warehousing areas, laboratories, carriers and third-party logistics providers. Know the quality management functionality that should be an integral part of your ERP system so you can meet your food quality compliance challenges.

managed care claims processing procedures  food distribution, food distributor, ERP, ERP system, quality management, food quality compliance, food quality management, GFSI quality standards, JustFoodERP Read More

Real-Time Data Management Delivers Faster Insights, Extreme Transaction Processing, and Competitive Advantage


Most businesses today realize they need to deliver performance and responsiveness as quickly as possible—at the speed of real-time business. New paradigms, such as the intersection of big data and predictive analytics, offer rewards to organizations that are agile enough to take advantage of the insights discovered. But achieving the agility demanded by real-time business and next-generation applications requires a new set of interconnected data management capabilities. This paper examines the opportunities and the vision required to deliver this next-generation, real-time business.

managed care claims processing procedures  real-time data, real-time data management, RTDM, RTDM platform, RTDM tools, predictive analytics, analytics, real-time data insights, data management platform, distributed in-memory storage, data virtualization, enterprise data modeling, data quality and governance, data streams and replication, data mobilization, next-generation app, next-generation business application, SAP Read More

Enabling Mobility for Healthcare Professionals: Choose the Technology Platform and Applications to Support Clinical Care Operations


Mobile technologies promise to transform healthcare organizations by bringing information to the point of care. But how can you bypass the hype and create a mobile healthcare environment that empowers clinicians to improve workflow, patient interaction, and care delivery efficiency? This paper explores challenges, best practices, and relevant technologies needed to deploy mobile technologies in the healthcare environment.

managed care claims processing procedures  Mobility for Healthcare Professionals: Choose the Technology Platform and Applications to Support Clinical Care Operations Mobile technologies promise to transform healthcare organizations by bringing information to the point of care. But how can you bypass the hype and create a mobile healthcare environment that empowers clinicians to improve workflow, patient interaction, and care delivery efficiency? This paper explores challenges, best practices, and relevant technologies needed to deploy Read More

Document Management for the Health Care Industry


Document management (DM) for health care and hospitals manages the storage, display, faxing, and scanning of paper and electronic documents.

managed care claims processing procedures  Management for the Health Care Industry Document management (DM) for health care and hospitals manages the storage, display, faxing, and scanning of paper and electronic documents. 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 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.  

managed care claims processing procedures  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

Health Care Payers' Adaptability Road Map for Health Benefit Exchanges


The Patient Protection and Affordable Care Act (PPACA) is aimed at creating state-based health benefit exchanges in the US. The health benefit exchanges are expected to provide individuals and small groups access to affordable health insurance. The Congressional Budget Office predicts that by 2019, about 24 million people will have insurance through these exchanges.The health benefit exchange opportunity before health payers can transform business. Payers should leverage the opportunity calls for a close examination of regulatory requirements that help create a best-fit and faster go-to-market strategy. Find out how.

managed care claims processing procedures  Care Payers' Adaptability Road Map for Health Benefit Exchanges The Patient Protection and Affordable Care Act (PPACA) is aimed at creating state-based health benefit exchanges in the US. The health benefit exchanges are expected to provide individuals and small groups access to affordable health insurance. The Congressional Budget Office predicts that by 2019, about 24 million people will have insurance through these exchanges.The health benefit exchange opportunity before health payers can Read More