Presentation on theme: "NameTitle Microsoft Corporation. EDI Specialists: Company Overview Privately held EDI/ IT staffing & workforce solutions provider since 1994 Corporate."— Presentation transcript:
EDI Specialists: Company Overview Privately held EDI/ IT staffing & workforce solutions provider since 1994 Corporate headquarters in Massachusetts Satellite offices in GA, ME, NC and TX Clients range from SMBs to Global 2000 Ranked on the Staffing Industry Analyst list of Fastest-Growing Staffing Companies 2009 Five year growth average of 32% Core Values: Integrity, Teamwork, Innovation, Work Ethic & Accountability
EDI Specialists, Inc. and Key IT (a division of EDI Specialists) help companies achieve a competitive edge and maximize their workforces by focusing on: Contract staff augmentation Direct hire placement Customized workforce solutions We are excited about expanding our relationship. We are confident in our: Technical competencies Strategic recruiting process Customized service model These strengths - coupled with a strong work ethic - allow us to service our clients at a high level. Our Services
Core Competencies Strengths: ERP Resources (SAP/ Oracle) Software & Web Development (.NET) Database Administration Program & Project Management Business & Systems Analysis Network & Technical Support Quality Assurance Strengths: EDI & eCommerce Consulting EAI Consulting HIPAA BizTalk Practice Sterling GIS/ SI Practice EDI Audit and Risk Assessment
A New Partnership We are now adding a third line of expertise to our core competencies, through a partnership between EDI Specialists and Activ Technologies.
About Activ Technologies….. Microsoft Gold Certified Integration Partner Microsoft Duet Partner Core BizTalk partner Member-Microsoft SAP Alliance team Member Microsoft Partner Advisory Council Specializing in: −EDI −Enterprise Application integration (EAI) −Supply Chain Collaboration (B2B) −Supplier Visibility
Business to Business Collaboration Brand Owner Regional Sales SupplierSupplier SupplierSupplier ManufacturerManufacturer DistributorDistributor RetailerRetailer Logistics Essential Support Processes
Does VAN provide the same value? *Current Economic Situation Duplicated VAN functions. *Different trading partners requiring trade in different ways. Monthly Fee Interconnect Charges * Strain over trading partner relationships
Challenges Today 100 Partners – 100 Maps – 100 Processes Harder maintenance, management and change Simple change affects hundreds of maps or processes
Challenges Today Manufacture Support Manage Assemble
Solutions often involve document resends or manual fixes. Service Level Agreements are often not even tracked.
Challenges Today Point-to-Point Hub and Spoke Service Bus
SWIFT SWIFT Net Core System BizTalk Server Accelerator for SWIFT SWIFT Alliance Access/Gateway Easy and affordable to Implement Maintain Change Support new standards Back-end system insulated Translation Validation Business Process Enrichment Integration
A4SWIFT View SWIFTNetworkSWIFTNetwork Assemble Receive Pipeline Send Pipeline MT MX MQSeries BusinessRulesEngineBusinessRulesEngine ReferenceDataReferenceData SchemaRepositorySchemaRepository XSD Disassemble Validate FA / IA Assemble Encode MapMap Adapter MessageBoxMessageBox SAGSAG RAHARAHA SAASAA MQSAMQSA Financial System (SAP) Idoc Orchestration Reconciliation & Business Monitoring Create & Repair SWIFT Messages SharePointPortal InfoPathWorkstation BizTalk Server BAM Portal
HL/7 Messaging ADT ADT ORU ? ORM ORU DFT ORU BizTalk Server + Accelerator for HL7
How should Healthcare Integration Work? Re-thinking Healthcare Processes and messaging as a Set of Services / Capabilities / “Cloud” Services Service Providers Service Consumers BizTalk Routing, Mapping, Transformation, Process Orchestration, Adapters, Publish/Subscribe Services, End Point Resolution, Error Handling, … Eligibility Service Trading Partner Service PBM Service Billing Service Electronic Payment Service Member Services Registration Service Radiology Service Order Mgmt Service Reporting Services Claims Services Credentialing Services Validation Services Monitoring Services Security Services Translation Services External Business Rules “Cloud” or SaaS Services (i.e. ICD-10 Services)
HIPAA Transaction Flow Overview Plan Sponsor (Employer Group) Providers Accounts Payable Premimum Payment Subscriber (Member) Enrollment Health Plan Enrollment Contract (Plan Administration) Premiums Received (Accounts Receivable) Pre-Adjudication Claims Adjudication / Processing / Coordination of Benefits Claims Payment Accts Payble Patient Registration and Admission Scheduling Patient Mgmt / Clinical Care Patient Billing Accounts Receivable BizTalk Server for EDI/HIPAA 834 - Enrollment 820 – Premimum Payment 870 – Eligibility Inquiry 871 – Eligibility Response 876 – Authorization Request 878 – Authorization Response 837 – Claim P.I.D 277 – Add info Req 275 – Claim Attachments 835 – Remittance Advice 277 – Status Resp. 275 – Claim Status Inq
Case Study-Meritain Health Large Healthcare customer running BizTalk 2009 for: Claims status request-respnse Eligibility request-response Re-pricing of claims Processing of incoming claims and routing to different LOB’s
Since 1994, we have compiled an impressive client list – including pharmaceutical, healthcare and other large firms. Pharmaceutical & Healthcare Client List Some of those firms are: Abbott Labs Aetna Affinity Health Plan Axiom Systems BCBS of Michigan Bristol-Myers Squibb Concentra Eisai Pharmaceuticals First Notice Systems Genentech GHI GHI HMO Hi-Tech Pharmacal Co., Inc. Independent Health Intermountain Healthcare Medicis Pharmaceutical Corporation Multiplan MVP Healthcare Noridian Mutual Insurance Pfizer PPOM Private Health Care Sepracor Inc. Taro Pharmaceuticals Tufts Associated Health Plans Warner Chilcott
RosettaNet Full RNIF 1.1 and RNIF 2.0 compliancy Support for Chemical Industry Data Exchange (CIDX) Chem eStandards v2.0.2 Full RNIF 1.1 and RNIF 2.0 compliancy. Establish new trading partner relationships. Create, import, export, or reuse new process templates. Manage all RosettaNet-based transactions and existing processes. Out-of-the-box public processes for all standard RosettaNet transaction patterns.
“We would need as many as 20 additional employees to complete the same amount of work that this one automated system is performing.” - Chris Etzel Manufacturing Engineer, Aidec “ Previously, the bank found it difficult to add new services due to its rigid IT infrastructure. “ - Chandrashekhar Sundaram, Architecture and Integration Manager for Dubai Bank “BizTalk Server 2006 could also protect our previous IT investments because it easily integrates with other technologies.” - Faizal Eledath CIO, Dubai Bank “Our IT department is under pressure to get more projects done, faster and with fewer resources. We don’t have the luxury of allowing projects to take weeks or months anymore; we must finish them in days or even hours. BizTalk Server 2006 R2 supports an IT model that makes this speed and agility possible.” - Mike Sorrells Infrastructure Analyst III, Scana Customer Quotes