Health Insurer Expedites Claims Process; Ensures Compliance

Pam Roman

Insurance Company Stakes Its Claim for Modernization, Integration and Automation   Our client is the publicly traded holding company (HC) of seven insurance companies. They offer Medicare supplements; annuities; and life, long-term care, accident and health insurance to working-class families and senior citizens.   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 … 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

What’s Integration Without Visibility?

Pam Roman

Interoperability – the frictionless, secure exchange of electronic health data – is an ongoing goal for all healthcare organizations, whether payer, provider or otherwise healthcare related. If we define interoperability as being among different organizations, then it all has to start with integration within any one organization. You can’t effectively share with others if your own internal systems are siloed … Read More

When it Comes to Cybersecurity, You DO Have to Sweat the Small Stuff

Pam Roman

With breaches and ransomware common topics in today’s news, we conducted a short Q&A with Mike Hahn, Prolifics Head of Security Practice. Join Mike Hahn in the Prolifics Innovation Sandbox The Sandbox kicks off again – live – on Thursday, Aug. 5 at 10 a.m. ET with “Top Guns of Cybersecurity.” Our team shares how to successfully fly past the “bogies” in … Read More

Prolifics Announces India Initiative

Pam Roman

Prolifics, a global digital engineering leader, announces its “India Initiative” to extend its service offerings and solutions to Indian business conglomerates and global capability centers (GCCs) of multinational corporations (MNCs) based in India.   Prolifics recognizes the technology disruption in India and a compelling need to facilitate rapid innovations in digital engineering. Also, the surge in demand for technical expertise is impacting these businesses. Prolifics is uniquely positioned to address these challenges, utilizing … 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

Transforming an Insurer’s Data Management Strategy

Pam Roman

Download PDF The Company, a multinational workplace health insurer, needed to shift to become a data-driven enterprise. It suffered from inefficient data management and high operating costs. Greater agility was required to respond to business pressures.Prolifics helped the Company digitally transform its data delivery infrastructure with MDM, modernizing it for today’s market. Its world-class data infrastructure and automated business processes … Read More

IBM Cognos Analytics – Time for an Upgrade

Pam Roman

IBM Cognos Analytics is IBM’s premier and robust business analytics solution for sharing actionable insights and augmented intelligence to drive analysis across your organization. Why Upgrade? Technology is always changing. In today’s landscape, the adoption of modern and data visualizations helps you make smarter decisions and gain better insights and augmented intelligence to drive analysis. Upgrading your IBM Cognos Business Intelligence … Read More

Process Mining Helps Ensure On-Time Deliveries and Happy Customers

Pam Roman

Challenge – Where’s My Delivery? As individuals, we’ve all known the frustration of the package that comes late or, worse yet, never arrives. As businesspeople, we know what it’s like to deal with customer or client complaints, and the frustration that comes from not being able to figure out how to readily correct the problem. Our client, an international package … Read More