Case Studies

Case Studies

Collaborate. Optimize. Respond. Empower.

Since 2004, TechCORE MSS takes pride delivering cost-effective business transformation. Here, find inspiring Case Study examples of challenges met, and missions recharged – of creating, modernizing and reinventing business processes and applications to not only meet but surpass business objectives.

Healthcare Records Process Management

Trinity Health invested in a BPM solution to integrate with a proven healthcare application that allowed doctors and nurses to collaborate on patient charts and records. TechCORE MSS joined the BPM integration project to immediately eliminate the backlog of application issues, provide application improvements, identify and resolve any critical-to-launch application/integration issues, and steer the project in the right direction for launch.

Referral and Authorization Process Automation

TechCORE MSS Business Operations consultants designed and implemented a solution that allows nurses from the government Veteran Hospital to initiate referrals and authorizations for customers to see physicians outside the Veterans Hospital network. The application integrates with hospitals through an information portal that has the capabilities to link with patient records to provide physicians a holistic patient view and streamline authorized payments.

Rapid Application Deployment

State of Maine (SOM) was looking to make several updates to their current in-house processes, starting with paying out blocked and missed unemployment claims. TechCORE MSS team worked with client team to rapidly implement a purchase order management, document management, and invoicing solution utilizing the Pegasystems BPM platform.

Legacy Enterprise Modernization

TMG selected Pegasystems’ PRPC to be the platform for their new enterprise, and TechCORE MSS was chosen as the preferred services provider to implement the entire BPM solution. TechCORE MSS consultants were involved from inception to launch in replacing TMG’s Medicaid call center and application used to enroll new patients in Medicaid programs.

Veterans Affairs IPPS – Invoicing Solution

VA FSC was working with a legacy system that was becoming increasingly outdated and unmanageable, especially as volume of incoming invoices increased. Client selected Pega product was chosen to improve automation, speed, and capacity; and asked TechCORE MSS to implement a solution with this software platform. he efficiency of the new system allowed for cost savings and dramatically increased processing automation.

Healthcare Legacy Integration & Modernization

CareFirst had existing legacy and new-age portal application systems and had a need to integrate the different systems with a BPM software solution. TechCORE MSS was selected as the primary consulting group to provide subject matter expertise for the Pegasystems integration solution. TechCORE MSS collaborated with the client at all phases of the software development lifecycle, helped to develop strategy and approach, and assisted with writing integration code. .

Case Management & Mobile Solution

Veteran Affairs Career Development group (VA for Vets) had a program for veterans to build resumes and work with mentor coaches to build new careers. TechCORE MSS was asked to join the solution delivery team for expertise in Appian BPM implementation. TechCORE MSS consultants provided an application assessment and analysis to determine areas of improvement with process models and overall design for the case management application.

Center of Excellence

Mission Critical Operations & Compliance TechCORE MSS was asked to leverage the expertise in BPM solution implementation to automate the processes and streamline the operations related to submissions from farmers and private landowners to improve, protect, and conserve natural resources on private lands (soil surveying, classification and water quality improvement). The solution provides regulatory compliance solution, while improving operational efficiency.

Bids & Ordering Processing Management

CVS Health currently has a manual process for enrolling clients and members in the Medicare Part D Program. TechCORE MSS to deliver a centralized work flow, implement approval processes, provide audit and tracking capabilities, and integrate seamlessly with core legacy enrollment systems to handle membership volume growth. Automated processes decreased time for new enrollments and changes to existing client accounts from two weeks to 24 hours.

Contracts Management

Vermont Agency of Transportation needed to actively manage construction contracts related to engineering financial management. Client looked to TechCORE MSS as a service provider who was responsive and reliable to conduct application improvements, resolve application issues, and be readily available for on-demand application support services.

Procurement Management

Procurement Management Solution TechCORE MSS provided a full application assessment and analysis that highlighted application concerns, high risk areas for re-design, and opportunities for application enhancement post-upgrade. TechCORE MSS worked with the client team to establish a “Get Well” schedule to include upgrade services, implementation of a Center of Excellence, application enhancements, and critical issue-resolutions.

Healthcare Operations Solutions

Enterprise Operations Management Medco needed an enterprise solution to run their business and update existing business processes that were outdated and non transferable. TechCORE MSS assembled a project delivery team for the duration of the full development lifecycle to replace all existing stovepipe applications and to create new and improved applications for corporate use.

Financial Client Portal

Centralized Customer Information Hub TechCORE MSS consultants implemented and launched a solution to serve as the one true data source for the client, thus reducing the time to deliver accurate profile information to their financial and insurance customers. TechCORE MSS to provide expert knowledge and expertise in Pegasystems BPM software development, implemented standards and procedures, and streamline processes for productive and effective operations.

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