Move Beyond HIPAA Compliance to Maximum Operational Efficiency
B2B data exchange is an essential discipline that enables healthcare payers to execute HIPAA-compliant transactions with a growing universe of providers, physicians, and other payer organizations. Mandates to transition to HIPAA 5010, as well as ICD-10, are forcing payers to address limitations in isolated B2B exchange solutions and look for ways to build the business agility needed to adapt to uncertain and fast-changing industry dynamics. Missteps in the HIPAA 4010/5010 transition can lead to:
- Inefficiencies in B2B processes and transactions
- Errors and delays in claims and billing
- Non-compliance with standards and operational risk
- Lost opportunities to build partner and member relationships
The Informatica Data Exchange Hub allows you to evolve beyond viewing HIPAA as simply a compliance challenge and realize breakthrough business efficiencies from enhanced, real-time B2B integration with trading partners. This solution increases productivity, ensures the quality of exchanged data, and builds better partner and member relationships. It also eliminates B2B solution silos as you work toward meeting strategic objectives of improved health outcomes and greater transparency. The Informatica Data Exchange Hub enables your payer organization to:
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Streamline and synthesize all B2B functions—including trading partner connectivity and management, transaction validation, any-to-any transformation, enrichment, routing, and delivery—on a single, scalable platform. Simplify workflow and ensure continuity with built-in support for more than 900 data-level revisions in HIPAA 5010.
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Improve speed and precision by consolidating all B2B activity on a comprehensive platform with full HIPAA functionality and universal support for HL7, NCPDP, and all structured and unstructured data types. Build trust in data with pre-emptive data quality, identity resolution, and seven levels of HIPAA validation.
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Strengthen compliance and reduce risk with in-stream validation of all HIPAA transactions and automated 4010/5010 translations. Minimize risk with full visibility through audit trails, transaction data archiving, and data event monitoring across the entire electronic claims data exchange process and by automating error-prone manual processes.
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Build deeper partner and member relationships through a collaborative data and transaction gateway and reduced error rates. Accelerate partner transactions and onboarding, integrate with industry networks, and transition to a patient-centric view that promotes delivery of new care programs and insurance products.
Streamline Healthcare Data Exchange—from Any Source, in Any Format
Based on the Informatica Platform, the Informatica Data Exchange Hub specifically targets the challenges that healthcare insurance companies and plans face in implementing a data and transaction gateway that is open, comprehensive, and unified. It enables healthcare payers to empower business users and reduce reliance on IT with full support for HIPAA 4010/5010 and standards and formats such as HL7, EDI, NCPDP, XML, PDF, Word, Excel, HTML, flat files, and more.
Core capabilities for B2B data exchange automate complex and high-volume transactions, while universal data access and transformation—from any source or format to any format—ensure interoperability with all internal and external data feeds. Real-time integration and robust content-based routing enable the secure delivery of any data to any destination in the extended enterprise, while data quality helps ensure that business-critical information is cleansed and accurate.