Health Insurance IT Case Study

Health Insurance Claims Intake Engine

Since early 2010, TCM has teamed with the Enterprise Services group of a large, international IT Integrator and Professional Services firm as its project team staffing partner for the development and implementation of a claims intake engine and related healthcare applications for a large Healthcare provider. These projects are all critical components of the healthcare provider’s plan to ensure compliance with HIPAA 5010, ICD 10 and Federal Health Care Legislation. TCM tailored its delivery processes and provided a monthly billing model to meet the precise needs of our integrator client and the end-client. To date, we have deployed a rapidly growing team of 145 application architects, developers and implementation experts in the areas of Oracle Fusion-Web Services, Oracle Fusion – BPEL, BAM, ESB, Java, SOA development and healthcare EDI Transaction Mapping. TCM has received several commendations for our performance and has been tapped as the prime delivery partner for the project’s duration.

 

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  • IT Integrator

    We help our IT integrator partners build and rapidly deploy a virtual bench of individual IT consultants and entire project teams, when and where needed, to augment their core personnel. Our IT consultants bring years of expertise in Business Systems Analysis, Project and Program Management, Quality Assurance and Testing, Cyber Security, Business Continuity and Risk Mitigation. We also provide SMAC and emerging technologies.

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    TCM was chosen by one of the world’s largest hotel companies with properties in over 100 countries to staff multiple project teams requiring Java development and Services-Oriented Architecture in the redevelopment of their online web-based reservation systems design, development and implementation.

  • Healthcare & Life Sciences

    Since 2007, we have deployed 2,150+ healthcare IT consultants to our partners and their clients across the Provider, Payer, State MMIS and Life Sciences markets, with expertise in the most commonly used platforms.

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    The Computer Merchant has the highest level clearance with the Department of Defense and have deployed thousands of IT consultants across more than over 30 federal agencies. We have a 35 year track record of powering Global 1000 clients and partners and is annually ranked by the Boston Business Journal among the Area’s Largest IT Staffing Firms.

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    To comply with FTC regulations, a major aerospace and defense firm partnered with our direct customer and TCM acted as the strategic sourcing and delivery partner to deploy multiple project teams at sites across the U.S.

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    In the 35 years we have been in business, TCM has garnered a deep knowledge of the banking and finance industry and a proven track record of IT project delivery performance. We have worked with many companies in the banking, financial and asset management industries.

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    The business world runs on data and the many processes that transform data into meaningful, actionable intelligence. At The Computer Merchant, we understand that transforming data into competitive intelligence, and driving processes and decisions, is at the core of achieving results.

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    Since our founding in 1980, TCM has been involved in staffing technology initiatives at institutes of learning, including projects at private colleges and state-run universities from Boston to New York and Pennsylvania.