Health plan organizations face the difficult task of transforming their business from an internally focused, transactional organization into a collaborative, knowledge-driven, and people-ready business that empowers employers and consumers to make informed decisions and helps providers deliver evidence-based care. This new collaborative model enables people within health plans to establish new and more customer-centric business processes in tune with the digital lifestyles of consumers and the business processes of individuals, teams, and providers.
Solutions for Business Process and Integration will help enable people to leverage the leadership position of Microsoft solutions in workflow, Web services, services-oriented architecture (SOA), and business-process automation. Use this page to learn more about these solutions and find the Microsoft partner that can provide a solution that meets your company's needs.
Featured case study: Horizon Healthcare Services speeds transactions and results
Horizon Healthcare Services, Inc. (Horizon), the independent licensee of the Blue Cross and Blue Shield Association in New Jersey, automated its claims and referral transactions in 2001 using off-the-shelf integration software. This linked the transactions to its mainframe systems. The integration solution required considerable manual intervention, was hard to adapt to new types of transactions, and often failed to meet required transaction-processing speeds. To address those challenges, Horizon switched to Microsoft BizTalk Server to link claims and referral transactions to its mainframe. The transition increased transaction-processing speed by more than 30 percent, simplified integration with mainframe systems, added flexibility for future development, and helped reduce costs by a projected 40–50 percent. It also expedited customer support response from minutes or hours to seconds. Read the full case study:
Business Process and Integration solutions from Microsoft partners
These featured partners offer business process and integration solutions built on the Microsoft platform:
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Above All Software, Inc. Above All Software provides award-winning software for rapid composite application assembly and delivery, enabling companies to leverage a service-oriented architecture to meet changing business needs. This new, flexible service-level approach simplifies and reduces the cost of business integration. Above All’s customers include Bell Canada, CSA, Hilton, Medtronic, and NASDAQ. Headquartered in Redwood Shores, CA, Above All is privately held.
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AmberPoint AmberPoint meets the challenges brought forth by service-orientated architectures (SOA). AmberPoint transforms services-based systems into production-ready business assets by making them easy to monitor and manage, more secure, and easy to upgrade. With AmberPoint solutions, enterprises implementing services-based applications can realize the full potential of their flexible, standards-based systems. They can better understand system behavior and implement policies that automate performance management, remedy exceptional conditions, and uphold security. They can do all this without special coding to the services or message tags. AmberPoint’s non-invasive, agent-based architecture allows SOA systems to evolve and grow without constant recoding to system components.
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Avanade, Inc. (Microsoft Gold Certified Partner) Avanade™ is the leading technology integrator with specialization in the Microsoft enterprise platform. Avanade helps customers around the world maximize technology investments and create comprehensive solutions that drive business results. Avanade's services and solutions span all Microsoft enterprise technologies to deliver improvements in infrastructure and applications.
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Infosys Technologies Ltd (Microsoft Gold Certified Partner) Infosys defines, designs and delivers IT-enabled business solutions that provide you with strategic differentiation and operational superiority to increase your competitiveness. Each solution is delivered with the industry-benchmark Infosys Predictability that gives you peace of mind. With Infosys, you are assured of a transparent business partner, business-IT alignment with flexibility, world-class processes, speed of execution and the power to stretch your IT budget by leveraging the Global Delivery Model that Infosys pioneered.
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QCSI (Quality Care Solutions Inc.) (Microsoft Gold Certified Partner) QCSI delivers comprehensive information technology solutions that enable healthcare payors to achieve their targeted business outcomes by streamlining the administration process, reducing costs, and uncovering new revenue opportunities. QCSI’s flexible, scalable, and extensible solutions enable health plans and benefits administrators to reduce costs, improve customer service, increase profitability, expand market share, and prepare for government regulations, including HIPAA. In addition, QCSI is facilitating the adoption of consumer-directed healthcare options such as healthcare savings accounts (HSAs), a rapidly growing benefit solution that could make healthcare coverage for Americans more affordable.
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Quilogy (Microsoft Gold Certified Partner) Quilogy provides clinical, business, and technical solutions through its healthcare and public-sector industry practices. Headquartered in St. Charles, Missouri, Quilogy has 14 offices to delivery services primarily in the Central and Midwestern regions of the United States. Quilogy uses Microsoft technologies to develop and implement solutions for hospitals, rehabilitation facilities, outpatient facilities, pharmaceutical companies, software vendors, and public-sector health agencies. Quilogy's Information-Worker practice focuses on boosting healthcare information-worker productivity to achieve competitive advantage. Quilogy healthcare solutions are a combination of accelerator and customized solutions that integrate into clients' existing environments and platforms. Quilogy offers special healthcare technology and public-sector expertise in portals and collaboration, integration, and mobility.
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SourceCode Technology Holdings, Inc. (Microsoft Gold Certified Partner) SourceCode Technology Holdings, Inc. develops the award-winning K2.net® 2003 enterprise workflow offering. K2.net 2003 is a leader in business process management for Microsoft .NET through its enablement of rapid solution assembly to optimize interactions between people, systems, and processes. Customers derive significant value from their Microsoft investments by leveraging K2.net 2003 and its powerful, proven, and seamless integration across a range of Microsoft products and technologies, including Microsoft Office, Microsoft Office InfoPath, Microsoft Office SharePoint Portal Server, Microsoft Office Project Server, and Microsoft BizTalk Server.
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SunGard EXP (formerly SunGard Workflow Solutions) SunGard EXP provides business process management solutions that leverage the value of an organization's existing business systems through integrated workflow, content and document management, and advanced Web enablement. SunGard EXP helps customers in the financial services, and health, life, and property and casualty insurance industries, reduce administrative costs, improve customer satisfaction and streamline business processes. SunGard EXP offers single-department to enterprise-wide solutions, using a proven implementation methodology that helps ensure the predictability of results.
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Systinet (Microsoft Certified Partner) Systinet, a division of Mercury Interactive Corporation, provides a leading foundation for SOA governance and lifecycle management. Founded in 2000, Systinet's proven and standards-based products include Systinet Registry and Systinet Policy Manager, both components of the Systinet 2 platform, which help enable IT organizations to rapidly leverage existing technology investments, provide interoperability between heterogeneous systems, and better align business processes with IT. Customers receive the benefits of a simpler, faster, standards-based way to dramatically improve IT responsiveness and technology asset reuse, while helping to maximize the return on investment (ROI) for SOA.
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Washington Publishing Company (Microsoft Certified Partner) Washington Publishing Company (WPC) specializes in system integration assisting organizations with their requirements concerning the administrative simplification components of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). WPC is also a leading expert in traditional Electronic Data Interchange (EDI) transaction processing using extensible markup language (XML) as an intermediary format. WPC is the publisher and copyright holder of the X12N Implementation Guides adopted by the United States government under HIPAA that specify the data format and content now mandated for use by all affected entities. WPC business analysts provide expert advice on diverse implementation issues. They are under contract with the United States government concerning enforcement of the HIPAA transaction and code set regulations and hold several key leadership positions within the United States health care standards setting community.
