ISV Solution Map Healthcare - Payer

ISV Solution Maps Home Complete ISV Listing For OPN Partners: Healthcare Industry Initiative  Key   Oracle   Oracle and/or ISV   Oracle Validated Integration

PRODUCT DEVELOPMENT

	Actuarial Services Benefits Design         SAS Institute Inc. Ingenix, Inc.         Ingenix, Inc. The TriZetto Group, Inc.

DISTRIBUTION MANAGEMENT

	Incentive Comp./Commissions Producer File Management Agency Management         Cover All Technologies, Inc. Callidus Software Inc.

UNDERWRITING

	Rating Engine Underwriting Rules Underwriting Workflow/Case Management     Cover All Technologies, Inc. SAS Institute Inc. CGI Group, Inc. (SI) The TriZetto Group, Inc. Perot Systems Corp. Ingenix, Inc.         SAS Institute Inc. Ingenix, Inc.

POLICY ADMINISTRATION

	Quotes Benefits Management & Eligibility           SunGard Insurance Systems The TriZetto Group, Inc. Perot Systems Corp.

BILLING

	Insurance Direct & Agency Billing Electronic Bill Presentment & Payment         Guidewire Software, Inc. Fiserv Solutions Inc. Cover All Technologies, Inc.         Bottomline Technologies, Inc.

CLAIMS MANAGEMENT

	Claim Submission Adjudication Servicing Reporting & Analytics The TriZetto Group, Inc. Perot Systems Corp. Ingenix, Inc.         The TriZetto Group, Inc. Perot Systems Corp.         The TriZetto Group, Inc.     The TriZetto Group, Inc.
	Document Management             FileNet Corporation

CARE MANAGEMENT

	Disease Management Case Management Referral & Authorization Management Clinical Pathway MEDecision, Inc. LandaCorp         The TriZetto Group, Inc. Curam Software MEDecision, Inc. LandaCorp         MEDecision, Inc. LandaCorp The TriZetto Group, Inc. Perot Systems Corp.         MEDecision, Inc.
	Health Records             MEDecision, Inc.

NETWORK MANAGEMENT

	Credentialing Contracting         Ingenix, Inc. The TriZetto Group, Inc. Perot Systems Corp.         The TriZetto Group, Inc. Ingenix, Inc.

ANALYTICS

	Medical Claims Network Compliance Ingenix, Inc. NCR Corporation IBM         Ingenix, Inc. NCR Corporation IBM         Ingenix, Inc. NCR Corporation IBM
	Financial / Supply Chain Human Resources Operations         NCR Corporation IBM Knightsbridge (SI)

WEB PORTAL / SELF-SERVICE

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