LifeWatch Automates Healthcare Claims Processing With Integration
公司规模
Mid-size Company
地区
- America
国家
- United States
产品
- iWay Service Manager
- HIPAA Accelerator
- Trading Partner Manager
技术栈
- EDI technology
- iWay Service Manager
- HIPAA Accelerator
实施规模
- Enterprise-wide Deployment
影响指标
- Productivity Improvements
- Cost Savings
技术
- 应用基础设施与中间件 - 数据交换与集成
- 应用基础设施与中间件 - API 集成与管理
适用行业
- 医疗保健和医院
适用功能
- 采购
用例
- 监管合规监控
- 远程资产管理
服务
- 系统集成
- 软件设计与工程服务
关于客户
LifeWatch is a company that provides remote heart-monitoring and home sleep-testing services for the diagnosis of obstructive sleep apnea. Through a comprehensive platform of technologically advanced monitoring devices and services, LifeWatch helps physicians detect and analyze symptoms before they become major health problems. With more than 500 employees, LifeWatch is a wholly owned subsidiary of LifeWatch AG, a leading healthcare technology and solutions provider based in Switzerland. The company is headquartered in Rosemont, IL, and processes medical claims for devices and patient services with more than 10 different insurance claims clearinghouses, each with its own unique trading partner agreements.
挑战
LifeWatch, a provider of remote heart-monitoring and home sleep-testing services, was faced with the challenge of complying with new governmental requirements to support new EDI standards for medical claims processing. Failure to comply would result in fines and payment delays. The company had to build integration technology to comply with the new standards by the government deadline. LifeWatch processes medical claims for devices and patient services with more than 10 different insurance claims clearinghouses, each with its own unique trading partner agreements. The company used electronic data interchange (EDI) technology to process charges using a 4010 format established by the Health Insurance Portability and Accountability Act (HIPAA), but a recent updated HIPAA standard now requires healthcare organizations to support the EDI 5010 format.
解决方案
To comply with the new government regulations, LifeWatch deployed iWay integration software solutions to manage claims processing with more than 10 different claims clearinghouses. The company used the iWay Service Manager Pro Edition Bundle and the HIPAA Accelerator (including Trading Partner Manager) to automate claim remittals and payment processing. iWay’s powerful combination of integration and transformation tools enabled LifeWatch to use its existing information systems in new ways. Information Builders helped LifeWatch's development team understand how to build the correct interfaces, set up the data so it could feed into iWay, and map all their business rules to meet government requirements. iWay Service Manager became the integration foundation at LifeWatch. iWay Trading Partner Manager simplified the creation of trading partner agreements and managed the EDI collaborations with the various clearinghouses that interface with LifeWatch. The iWay HIPAA Adapter understood the EDI formats, and, together with Service Manager, parsed and transformed the EDI 5010 transactions into the appropriate backend formats.
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