The customer is consistently
ranked among the top HMOs in the USA for quality of care.
They offer health care in New England area, primarily
in Massachusetts. They offer an extensive network of over
24,000 affiliated providers, providers on staff, thousands
of independent physician and group practices and 140 hospitals.
Challenge
New England
Health EDI network (NEHEN) is a consortium of providers
and payers to standardize information exchange in a standard,
secured and regional HIPAA compliant framework. Our client
had to comply with the NEHEN security standards, generating
and accepting HIPAA compliant transactions, and set up
internal IT infrastructure.
Solution
Evaluated
GXS Enterprise system and gave recommendations for
utilizing the product to its fullest functionality
and also later helped the customer implement the
recommendations
Supported the complete
EDI network 24X7
Streamlined all
the NEHEN community transactions and funneled through
E-Gateway which resulted in:
more
accountability for system downtime
Reduction
of cycle time for NEHEN providers coming on
board, since every NEHEN provider has E-Gateway
and they know how to communicate to E-Gateway
at clients facility
Re-queuing
facility if provider’s system was down
Common routing
point for all the NEHEN members
Evaluation of tools.
Load balancing and
fine tuning of Enterprise system and differentiating
of batch and real time transactions
Assisted in the
migration of Enterprise and Application Integrator
