Axway and Edifecs Support HIPAA Migration With Transaction Processing Solutions for Healthcare

CHICAGO, HIMSS Annual Conference & Exhibition – Axway, the leading global provider of multi-enterprise solutions and infrastructure, announced today that its recently-formed partnership with Edifecs will provide integrated migration solutions for the Health Insurance Portability and Accountability Act (HIPAA) modifications recently disclosed by the Centers for Medicare and Medicaid Services (CMS). Additionally, these solutions will support companies with Workgroup for Electronic Data Interchange's (WEDI) Strategic National Implementation Process (SNIP) Type 1-7 testing, and provide validation and error reporting capabilities to trading partners.

The updated X12 standard Version 5010 is one of two final rules in the new HIPAA mandatesⁱ to facilitate the U.S. transition to an electronic healthcare environment. It includes new guidelines for claims, eligibility inquiries, referral authorization, remittance advice and more. It adopts an updated version of the National Council for Prescription Drug Programs (NCPDP) standard, and a standard for Medicaid pharmacy subrogation transactions.

"Healthcare organizations should put HIPAA 5010 and ICD-10 migration initiatives in place soon, as delays may be costly and create process inefficiencies," said Todd Feinroth, senior vice president, sales & alliances, Edifecs. "The Axway/Edifecs joint solutions will deliver compliance tools, 5010 transaction processing capabilities, and services that are unmatched in the industry to assist with various global and internal company initiatives."

Axway's Synchrony™ platform, a service-oriented architecture, features a line of solutions for track & trace, drug pedigree, trade activity management, business-to-business (B2B) communication and more, to address global healthcare challenges. Also devoted to top industry concerns, Edifecs has healthcare solutions for administrative, financial, clinical and pharmaceutical transactions, along with HIPAA migration solutions such as Edifecs5010. Together, Axway and Edifecs' joint solutions have the features and functionality that ensure organizations will meet HIPAA 5010.

"These new HIPAA regulations and changes in the industry are causing pharmacy benefit managers, hospitals, doctors, and insurance companies to implement new policies in order to facilitate the interoperability of stakeholder systems and drive efficiencies," said Sia Zadeh, director, business development, Axway. "Our objective with Edifecs is to develop solutions to make achieving data quality and compliance easier for healthcare companies. This will help them be more competitive by driving automated transaction processing throughout their organizations."

ⁱ March 17, 2009 was the first of two effective dates for the latest modifications to the HIPAA Electronic Transaction Standards final rule. The final rule adopts new versions (ASC X12 Version 5010) of the electronic transactions standards and (ICD-10-CM and ICD-10-PCS) Medical Data Code Set Standards of HIPAA. The final rule also adopts two standards for billing retail pharmacy supplies and professional services, and clarifies who the "senders" and "receivers" are in the descriptions of certain healthcare transactions. Mandatory compliance of these standards is January 1, 2012. Finally, a transaction standard for Medicaid pharmacy subrogation will go into effect January 1, 2010, with mandatory compliance January 1, 2013.

To learn more about Axway's award-winning healthcare solutions, visit http://www.axway.com/solutions/healthcare.php.

Related link:
Axway Wins 2009 HDMA iBusiness Solution Award for Axway Trade Activity Manager

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About Axway
Axway is the Business Interaction Networks company — the only provider in the market today to manage, run, secure, and monitor all of your business interactions, including email, files, messaging, services, events, and processes. Serving over 11,000 organizations in more than 100 countries, Axway facilitates the multi-enterprise transactions, processes and integration that accelerate business by eliminating the barriers between vendors, customers, departments, partners and suppliers. Axway's comprehensive offerings include business-to-business integration, managed file transfer, secure email, business activity monitoring, enterprise application integration, service-oriented architecture, business process management, track & trace and identity validation solutions. Axway provides professional and managed services, as well as cloud computing and Software-as-a-Service (SaaS) offerings. Headquartered in Phoenix, Arizona, Axway's global presence spans 20 countries.

About Edifecs
Edifecs helps organizations achieve interoperability and return on investment by simplifying the adoption of standard electronic transactions and deriving business value from trading partner communities. 2009 marks 14 years of Edifecs' expertise in providing innovative technology solutions to over 1000 clients worldwide. Founded in 1996, Edifecs is headquartered in Bellevue, WA. Edifecs Healthcare customers include 25 BlueCross BlueShield plans, and over 30 Medicaids, state and federal agencies.