Insurance Management | Medical Billing | Business Support | Claims Processing | Insurance (Integrated) | Managed Care (HMO/ PPO) | Insurance Compensation Management | Electronic Medical Records (EMR) | Healthcare (Integrated) | Life Agency and Company Systems

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HEALTHsuite® - Claims Processing Software by RAM Technologies, Inc. HEALTHsuite is an administrative claims processing system designed for health plans and other health care organizations. Rich in features and functions to support health plans of all sizes and types, HEALTHsuite supports all aspects of health care administration including HMO, Consumer Driven, Medicare, Medicaid and Federal Health Benefits.  (ASP & SOFTWARE PRODUCT) GO TO DETAILED REPORT

FACTS® PPO™ by Ebix Health, Inc. January 2001 - (Free Research) FACTS® PPO™ is a fully automated provider network processing module, this system provides you with a fully integrated database for providers (both practitioners and facilities). (ARTICLE) VIEW ABSTRACT | GO TO ARTICLE

VUE Software: Insurance Commission & Incentive Compensation Management by CSSI VUE software delivers flexibility and automation to help solve the complexities of insurance sales commission and incentive compensation plans. VUE’s web-enabled incentive management solution reduces costs while driving accuracy and efficiency into your organization. This comprehensive solution offers the ease of a total solution from one vendor.  (SOFTWARE PRODUCT) GO TO DETAILED REPORT

Securing Loyalty: Insurance Carrier Strategies for Optimizing Agent Retention and Productivity by CSSI December 2008 - (Free Research) Today, technology provides tremendous, previously untapped opportunities for a carrier to enhance the experience of channel members and ensures greater productivity. This paper describes the challenges carriers face in the area of loyalty and the ways technology enables carriers to address common agent frustrations in unprecedented ways. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

FACTS Defined Contribution System (FACTS DCS) - Advanced Technologies for Expert Health Claims Management by Ebix Health, Inc. January 2004 - (Free Research) FACTS DCS is the technology solution that deliver consumer directed health plan administration seamlessly within your health claims processing operations. (ARTICLE) VIEW ABSTRACT | GO TO ARTICLE

FACTS® CLAIMS & ENCOUNTERS™ by Ebix Health, Inc. January 2001 - (Free Research) FACTS® CLAIMS & ENCOUNTERS™ is a fully automated, real-time processing system for complete, online adjudication of medical, dental, vision, prescription drug, disability and COBRA claims and encounters. (ARTICLE) VIEW ABSTRACT | GO TO ARTICLE

A Guide to the Value of Reliable Data in Insurance by DataFlux Corporation November 2009 - (Free Research) Only when data is trusted can it be used in confidence in all insurance operational and analytical process activities. This paper examines the impact of unreliable data on insurance companies. It then defines the requirements needed to guarantee data reliability in insurance and offers a practical approach to creating and governing that data. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

HCL Insurance BPO Services Transforms Its Mainframe Environment to Reduce Costs by 75% and Improve Service Performance by Micro Focus UK October 2009 - (Free Research) Following a Business Process Outsourcing agreement for the administration of Life and Pension products, HCL Insurance BPO Services, undertook a full analysis of the inherited infrastructure. A risk was identified with the third party mainframe used to host its CAPSIL insurance application. (CASE STUDY) VIEW ABSTRACT | GO TO CASE STUDY

DataDirect HIPAA/ICD Upgrade Toolkit 2009 by DataDirect Technologies October 2009 - (Free Research) This toolkit will help you to fully understand the new rules that have been installed to United States Department of Health and Human Services (HHS) and how it is being used in conjunction with Health Insurance Portability and Accountability Act (HIPAA). (ASSESSMENT TOOL) VIEW ABSTRACT | GO TO

FACTS® WDS™ by Ebix Health, Inc. January 2001 - (Free Research) FACTS® WDS™ (Work Distribution System) module is an electronic claim workflow management system for your adjusters. (ARTICLE) VIEW ABSTRACT | GO TO ARTICLE

Evaluating the Costs and Benefits of Backup and Deduplication Storage by Data Domain July 2008 - (Free Research) Unreliable backups and recovery times that are too long have long plagued IT organisations. This paper takes a look at the costs and benefits of backup with deduplication storage as strategic assets for data protection. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

Business Value of Compensation Management in the Insurance Industry by CSSI January 2007 - (Free Research) Changes in the insurance industry have generated a real need for effective, automated commissions and incentive compensation management solutions. This CSSI white paper describes some of the dilemmas carriers, MGAs, producers and support staff face, and it presents the advantages of using an automated system. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

The Business Value of Insurance Compensation Management Systems by CSSI February 2008 - (Free Research) This white paper describes some of the problems insurance carriers face regarding compensation and presents the advantages of using an automated system to simplify incentive compensation. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

Innovative Marketing Strategies for Individual and Personal Lines Insurers by Infor CRM July 2009 - (Free Research) In this paper you will learn just how important each customer interaction is and how companies are turning to Infor CRM Epiphany Inbound Marketing for Insurance to be able to manage their customers on a highly personal basis which greatly increases customer loyalty and satisfaction which will ultimately increase sales and profitability. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

Brown & Brown Protector Plans: E-Discovery Results 5X Faster - Data Integrity Ensured, Hardware And Labor Requirements Minimized With SaaS-Based Unified Email Management Solution by Mimecast August 2009 - (Free Research) In this case study, we'll see why Brown & Brown Protector Plans turned to Mimecast's SaaS-based, "always available" enterprise email management in the cloud for their archiving, discovery, continuity, security and policy needs. (CASE STUDY) VIEW ABSTRACT | GO TO CASE STUDY

Infor CRM Epiphany for Insurance by Infor CRM July 2009 - (Free Research) The market-leading Infor CRM Epiphany suite was designed with the needs of today's insurance companies in mind. It delivers what you need to execute a customer retention and growth strategy by delivering a single view of customer interactions across business. (BROCHURE) VIEW ABSTRACT | GO TO

Efficiency, Effectiveness and Customer Loyalty in the Insurance Contact Center by Infor CRM July 2009 - (Free Research) Read this paper to learn how important an efficient and effective contact center is and how Infor CRM Epiphany Contact Center enables carriers to create a highly efficient, customer-centric, multichannel contact center, providing a better customer service experience and increasing customer loyalty. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

Deliver Effective Governance for Identity and Access Management by IBM June 2009 - (Free Research) Organizations should consider a thorough approach to IAM governance that meets the requirements of discovering, documenting and analyzing user access; establishing a process for user access governance; ensuring that constraints help manage business conflict; enforcing policies; and continuous monitoring. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

FACTS® Web™ by Ebix Health, Inc. January 2001 - (Free Research) FACTS®Web™ facilitates the sharing of real-time information directly from your FACTS® system to insureds, employees, and provider's web browsers through the Internet. (ARTICLE) VIEW ABSTRACT | GO TO ARTICLE

Data Breaches in the US by Quantum Corporation July 2009 - (Free Research) Learn the specifics of how, what and when data breaches occur in the United States by viewing this sales tool. Discover how much data was compromised by lost backup tapes, computer theft and lockbox theft from various organizations like health insurance companies, banks and federal departments. (ASSESSMENT TOOL) VIEW ABSTRACT | GO TO

Greenville Hospital System Selects Kofax Intelligent Capture & Exchange to Automate the Processing of Insurance Records by Kofax, Inc. August 2009 - (Free Research) Learn how the Greenville Hospital System integrated Kofax Capture and Kofax Transformation Modules to reduce the time and resources needed to digitally scan detailed patient records into their system. (CASE STUDY) VIEW ABSTRACT | GO TO CASE STUDY

Understanding and Managing Supply Chain Risk by SAP America Inc January 2006 - (Free Research) Download this white paper and explore new thinking on potential risk to global supply chains and how companies are adopting the statistical methods more commonly associated with finance and insurance. Learn how identifying and profiling risk variables, quantifying risk and using IT solutions can create higher resilience for supply chain management. (WHITE PAPER) VIEW ABSTRACT | GO TO WHITE PAPER

Reinsurance Company Improves Data Quality, Enhances Profitability with DataFlux by DataFlux Corporation January 2009 - (Free Research) DataFlux dfPower Studio combines several tools to help standardize incoming data and assist companies in building business rules into their system. (CASE STUDY) VIEW ABSTRACT | GO TO CASE STUDY

How to Protect Medical Records, Ensure HIPAA Compliance, and Improve Productivity by Lumension August 2009 - (Free Research) Tough economic times, technology advances, and regulations have pushed healthcare organizations to put their records online. This confidential information must be readily accessible to doctors, insurance companies, other healthcare facilities, and patients themselves, but must also be safe from any outside eyes. View this webcast to learn more. (WEBCAST) VIEW ABSTRACT | GO TO WEBCAST

Simplifying charting of CA-7® critical paths at Pacific Life by SEGUS Inc December 2008 - (Free Research) Read this case study to learn how Pacific Life discovered a solid reporting and charting product to reduce time spent on flowcharting their CA-7 scheduling information. Once in place, they found that it could save time in many other areas too. (CASE STUDY) VIEW ABSTRACT | GO TO CASE STUDY

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