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Healthcare Payer Software Solutions - PowerPoint PPT Presentation

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Binary Spectrum's Healthcare solutions helps heatlhcare payers to increase business performance and integrate business processes for medium and large sized organizations.

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

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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

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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

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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:

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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:

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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:

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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:

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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:

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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:

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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:

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