Title: Healthcare-Payer-Software-Solutions
1HEALTHCARE PAYER SOFTWAREAddressing the Needs
of Payers and Planting the seeds for a Simplified
Future
2Healthcare 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
3Payer 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
4Case 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.co
m/casestudies/hmo/CrmForManagingCampaigns.html
5Case Studies MRA
- The Task
- To develop a system wherein the details of the
members 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/Medi
calResearchAdministration.html
6Case 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 HMOs database. - The Solution
- EDI Business to Business Platform for Bulk
Transactions - Read further details http//www.binaryspectrum.co
m/casestudies/hmo/B2BEDIBulkTransactions.html
7Case 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.co
m/casestudies/hmo/OnlineAnalyticalProcessing.html
8Case 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.co
m/casestudies/hmo/ManagingWebsitePortal.html
9Case Studies HRA
- The Task
- To develop an application that focuses on the
primary phase of maintaining the members
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.co
m/casestudies/hmo/HealthRiskAssessment.html
10Case 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.co
m/casestudies/hmo/ReportsForCMSAndSponsors.html
11- Logon to http//www.binaryspectrum.com
-
- Email to marketing_at_binaryspectrum.com
- THANK YOU!!