Case Studies

TechCORE MSS CASE STUDIES

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

Operations Management Solutions 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.

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VA FSC was working with a legacy system that was becoming increasingly outdated and unmanageable, especially as volume of incoming invoices increased.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

Legacy Enterprise Modernization

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.

Healthcare Legacy Integration & Modernization

Legacy Integration & Modernization Solution 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. ATS 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

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. ATS 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 ArchiTECH Solutions 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

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 workflow, 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

Contracts Management Solution Improvement 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.

Invoicing Solution

Veterans Affairs Financial Services Center (VA FSC) processes non-medical invoices for all VA medical centers, as well as for other government agencies, as a franchise fund service. The VA FSC was working with a legacy system that was becoming increasingly outdated and unmanageable, especially as volume of incoming invoices increased. A Pega product was chosen to improve automation, speed, and capacity.

HEALTHCARE Solution

As one of the largest medical supply distributers in the country, Medco needed an enterprise solution to run their business and update existing business processes that were outdated and non transferable. In addition, duplicate and redundant data were being captured through multiple stovepipe applications that didn’t communicate with one another.

Healthcare Solution

Veteran Affairs Financial Services Center (VA FSC) processes claims for medical services provided to Veterans outside of the VA Hospital System. To replace an aging legacy system, to replace a non-standardized paper-based process, and to expand services from a regional to national level, VA FSC selected the Pega platform to modernize and standardize claims processing for fee-based services.

Financial Client Portal

Acxiom is a provider of personal, financial, and property information to insurance and financial companies. Acxiom selected Pega PRPC to support their high-volume transaction business, but needed a top-tier technical team to support the various data systems solution.

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