Healthcare Payer Software Solutions

1. HEALTHCARE PAYER SOFTWAREAddressing the Needs of Payers and Plantingthe seeds for a Simplified Future

2. Healthcare Payer Software • Automating various requirements of Health Maintenance Organizations • Specific requirements blended with our technical expertise to provide the best personalized solutions • Experience in providing payer solutions to medium and large sized organizations

3. Payer Software Solutions We provide the following Payer Solutions: • CRM Solutions • Medical Research Administration • EDI Solutions • Online Analytical Processing Solutions • Web Portal • Health Risk Assessment • Reporting for CMS and Sponsors

4. Case Studies: CRM • The Task: To develop an organized process that well defines the Medicare members’ enrollment procedure into the HMO. • The Solution: CRM for managing campaigns, events, leads and enrolling Medicare members • Read further details: http://www.binaryspectrum.com/casestudies/hmo/CrmForManagingCampaigns.html

5. Case Studies: MRA • The Task: To develop a system wherein the details of the member’s healthcare risk assessment is done and reviewed in a structured and user friendly manner. • The Solution: Medical research administration for Medicare members • Read further details: http://www.binaryspectrum.com/casestudies/hmo/MedicalResearchAdministration.html

6. Case Studies: EDI • The Task: To develop an application that would help in loading EDI claims, remittance, enrollment / disenrollment eligibility and various kinds of payments into the HMO’s database. • The Solution: EDI: Business to Business Platform for Bulk Transactions • Read further details: http://www.binaryspectrum.com/casestudies/hmo/B2BEDIBulkTransactions.html

7. Case Studies: OLAP • The Task: To create and deploy Cubes that would help to provide filtering, grouping and labeling of data in a data warehouse. • The Solution: OLAP created out of cubes to help in business analytics • Read further details: http://www.binaryspectrum.com/casestudies/hmo/OnlineAnalyticalProcessing.html

8. Case Studies: Portal • The Task: To develop a portal that serves as a platform in providing global information about the client. • The Solution: Managing website portal with regulatory content for compliance • Read further details: http://www.binaryspectrum.com/casestudies/hmo/ManagingWebsitePortal.html

9. Case Studies: HRA • The Task: To develop an application that focuses on the primary phase of maintaining the member’s database by collection of data through enquiries. • The Solution: Heath Risk Assessment application used extensively for the purpose of maintaining primary health concerns of a new member • Read further details: http://www.binaryspectrum.com/casestudies/hmo/HealthRiskAssessment.html

10. Case Studies: Reports • The Task: To design an application that acts as a valuable reporting interface between the client and its various kinds of vendors. • The Solution: Standard reports for CMS and sponsors • Read further details: http://www.binaryspectrum.com/casestudies/hmo/ReportsForCMSAndSponsors.html

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