The document outlines various healthcare payer software solutions tailored for health maintenance organizations, emphasizing automation and personalized services. It includes case studies on customer relationship management, medical research administration, electronic data interchange, online analytical processing, web portal development, health risk assessment, and reporting systems. Each case study details specific tasks, solutions, and provides links for further information.

1. HEALTHCARE PAYER SOFTWARE Addressing the Needs of Payers and Planting the 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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