Faster Claims, More Control a Victory for Insurer and Patients

Chas Jordan

Challenge  Older system can’t keep up with today’s healthcare demands  HC’s claims-processing system was a homegrown, legacy environment — cobbled together using older technology that wasn’t seamlessly integrated. Running and maintaining the system had become untenable, creating several major headaches for the claims payer:  The system had become non-compliant with HIPAA.  The system was batch- and schedule-based.  The claims themselves … Read More

Prolifics’ Out-of-the-Box Business Approach

Pam Roman

Out-of-the-box thinking – it’s thinking in a new, imaginative and innovative way that delivers creative solutions with quality results. During IBM’s Think, the Cube’s Victor Dabrinze interviewed our own Kirsten Craft, Head of Business Development and Marketing here at Prolifics, to learn more about this approach and how it helps Prolifics’ clients gain advantage in their space!

The Open Source Database Trifecta: Innovative, Business-Friendly, Cheaper

Pam Roman

Has it always been this way?  It’s there every day you come to work, waiting for you, month after month, year after year. Maybe it’s always been there. If you’re old enough, you may have a vague recollection of what came before it, but otherwise, yes – it’s always been there. Your old, commercial technology databases chugging away on your old on-prem or cloud appliance architecture.  Can … Read More

Start-Up Gets Started Faster – With Agile Methodology

Pam Roman

PainScript connects physicians with their chronic pain and substance use disorder (SUD) patients daily by tracking medication and care plan adherence through an easy-to-use, clinically validated app. They provide physicians with detailed patient insight, a HIPAA-compliant clinical dashboard, and tools for medication monitoring.  About our Client Challenge   Bringing an idea to life – quickly A psychiatry practice was looking for ways to effectively monitor patients with chronic pain and substance use disorders. They found that with traditional, in-person appointments there … Read More

Prolifics Named IBM Think Build Grow Winner

Pam Roman

Prolifics, a global digital transformation leader and a long-time IBM business partner, is proud to announce IBM has selected Prolifics as one of its 2020 IBM Think Build Grow winners.   Think Build Grow is a part of IBM PartnerWorld. It recognizes achievements in innovation, leveraging cloud and AI technologies. Prolifics’ winning submission was its “Quick FHIR” solution leveraged with … Read More

Prolifics CTO Named IBM “Lifetime Champion”

Pam Roman

Prolifics, a global digital transformation leader, is proud to announce that Greg Hodgkinson, our Chief Technology Officer (CTO) and head of the Prolifics Global Innovation Center, has been named an IBM “Lifetime Champion,” its highest award for non-IBM employees. Hodgkinson is now part of a select group of only 32 individuals worldwide who have been nominated by their peers and … Read More

What Is Medical Claims Processing Automation ?

Pam Roman

Medical claims processing is the foundation for any health insurance provider since it is the point when the insurance business begins to process medical data, preparing to deliver on its agreement with and commitment to customers by reviewing, approving and paying out on a claim. Businesses and employees invest in the insurance process, and the medical claims process allows them to collect … Read More

Prolifics Teams with IBM to Help Enterprises Manage Hybrid Cloud Workloads

Pam Roman

IBM Cloud Satellite announcement

Prolifics to Help Bring Hybrid Cloud Capabilities to Clients in Any Environment ORLANDO, FLA., March 1, 2021 – Prolifics, a global digital transformation leader is proud to announce that we now can help enterprises manage their applications across multiple cloud environments with IBM Cloud Satellite. IBM Cloud Satellite, now generally available, enables clients to run IBM Cloud services on any … Read More

Working in the Prolifics Innovation Center

Pam Roman

The Innovation Center reflects our culture of curiosity and collaboration, and offers our customers (as well as our employees) the opportunity for continuous improvement, future competencies and empowering technologies that cut across all applications and platforms. Here’s some background on the Innovation Center and the experiences of three Prolifians who are part of it. What and where is the Innovation … Read More

Innovation Sandbox – Neurotic About Analytics

Pam Roman

Data and analytics are drivers for success in every industry – that’s a fact. And the amount of data consumers create and businesses consume is exploding at rates unfathomable just a decade ago. So how do you keep up? Better yet, how do you harness the power of your data to get ahead and stay ahead of your competition. Three … Read More