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CGI Sovera Physician Credentialing

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Sovera Physician Credentialing streamlines the credentialing process and reduces time, space and money spent on manually gathering and storing scores of documentation on each physician. As a standalone Credentialing application or integrated with an existing Credentialing database, Sovera Physician Credentialing provides document imaging and advanced workflow capabilities that can be modified to comply with hospital policies and procedures.

The solution sends email reminders to physicians to prompt them to complete the application and re-credentialing process before expiration. Application documents are then emailed from Sovera to the physician. The system ingests paper, electronic, and faxed documents, which are indexed using pre-existing demographic information stored in the credentialing database. As documents are received, the “physician application folder” is created. A document work list is automatically updated, signaling missing documentation, and emails are sent to physicians with incomplete applications.

All documentation can be viewed from within Sovera. The solutions electronic workflow routes applications according to workflow rules, and enables multiple committee members to receive and view applications simultaneously. Designated committee members can then electronically sign off on applications. The solution also offers post decision support, sending an automatic email notification to physicians regarding approval/rejection.

Business information

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  • + Functional details

    Real time capture and verification of documents (paper, emails, fax, COLD feeds) Full text searching of documents Workflow processes that enable the online collaborative review of credentialing documents by multiple users (committees), tracking incomplete applications and missing documents and sending alerts to the respective physicians notifying them of these statuses Automatic emails to reviewers that an application is ready for their review Online forms Integration with Credentialing Systems and Databases for validation and content sharing Increased access to historical documentation allowing a provider to complete the re-credentialing process more efficiently

  • + Business problem

    see competitive advantage and solution functions

  • + Business opportunity

    to establish an enterprise content management platform that can be applied to other departments in the health-care enterprise that require the management of content and business process improvement

  • + Return on investment

    see competitive advantage

  • + Competitive advantage

    Transaction cost savings File space reductions Cycle time reductions Improved compliance

  • + Industries

    Healthcare Industry
       Integrated Healthcare Systems / Hospitals

  • + Solution areas

    Healthcare and Pharmaceutical
       Administrative Systems
       Operations and Regulations
    Cross industry
       Business Process Management and Integration
       Document Management

  • + Customer size

    Very Small Business (Less than 50 employees)
    Small Business (50 to 99 employees)
    Midmarket Business (100 to 499 employees)
    Midmarket Business (500 to 1000 employees)
    Large Business (greater than 1000 employees)

  • + Languages supported

    English

  • + Countries/regions available for distribution

    Canada , United States

  • + Solution collateral

    Name Date Categories
    Feb 7, 2012 Products
    Services
    Fact Sheet
    Sales
    Sales Kits
    Value Proposition

Technical information

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  • + Hardware/OS platforms

    HP-UX
       Hewlett-Packard servers (incl. Compaq)
    SLES9
       IBM Systems: System x
    Solaris (SUN)
       Sun Microsystems servers
    Windows Server 2003
       Hewlett-Packard servers (incl. Compaq)
       Other non-IBM servers
       Fujitsu Siemens servers
       Sun Microsystems servers
       IBM BladeCenter HSxx (Intel processor-based)
       IBM BladeCenter LSxx (AMD processor-based)
       Dell servers
       IBM Systems: System x
    AIX 6.1
       IBM BladeCenter JSxx (POWER processor-based)
       IBM Systems: System p
       IBM Systems: Power
    SLES10
       IBM Systems: System x
    AIX 7.1
       IBM Systems: System p
       IBM Systems: Power

  • + Software

    IBM Information Management
       FileNet Product Family
          FileNet Content Manager
       Information Management
          DB2 Enterprise Server Edition
    IBM Other
       Security Systems
          Tivoli Directory Server
    IBM WebSphere
       WebSphere
          WebSphere Application Server


Date last modified:    Mar 31, 2013


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Contact information

Jane Anne Kaplan
301-602-8288

Company

CGI Technologies and Solutions, Inc.
11325 Random Hills Road
Fairfax, VA 22030
United States

+1 703 2678000

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