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Conference 35.181::insurance

Title:Insurance Industry Conference
Moderator:ICPSRV::DOVE
Created:Thu Feb 18 1988
Last Modified:Wed Feb 05 1997
Last Successful Update:Fri Jun 06 1997
Number of topics:136
Total number of notes:551

53.0. "Precertification / Risk Management Solutions" by GLDOA::AUGHINBAUGH () Tue Oct 18 1988 18:17

    I am helping my customer conduct a search for VAX based solutions
    for Pre-Certification and Case Management. If you have knowledge
    of such applications being processed on VAX in either Blue Cross
    Blue Shield organizations or other major health insurers I need
    to know who has the software.
    
    Thank you
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53.1Iameter-Possible solutionAUNTB::KNIGHTLIWed Oct 19 1988 14:475
    
    There is a company called Iameter in San Mateo, Ca. that has some
    Vax based software that does clinical concurrent review and severity
    of illness classification.  I don't know how good it is, but it
    is the only Managed Care software I found.
53.2HSI and Managed Health CareFOOZLE::BAKERThu Oct 20 1988 07:535
    You might contact Health Systems International in New Haven
    (203-562-2101). I spoke with them some time time ago and at that
    time they had a VAX based DRG system and were developing a full
    medical case management system for the VAX. Please post the results
    of you research on VAXnotes so that we will all know the results.