Name Title Microsoft Corporation 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 Our Services 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. Core Competencies Strengths: • EDI & eCommerce Consulting • EAI Consulting • HIPAA • BizTalk Practice • Sterling GIS/ SI Practice • EDI Audit and Risk Assessment Strengths: • ERP Resources (SAP/ Oracle) • Software & Web Development (.NET) • Database Administration • Program & Project Management • Business & Systems Analysis • Network & Technical Support • Quality Assurance 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 Manufacturer Retailer Distributor Regional Sales Supplier Supplier Essential Support Processes Challenges Today Challenges Today 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 Organizations need to modify business processes to gain efficiencies and save costs. Business requirements change often. Manufacture Support Partners with unique requirements need to be onboarded quickly. Assemble Manage Organizations are sometimes afraid to touch existing platform because "it works". Challenges Today Legacy platforms often require highly qualified technical resources to triage errors. It often takes hours before someone even looks at an issue. 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 Modern B2B Solutions Business to Business Integration Message Assembly & Disassembly Synchronous & Asynchronous Message Disposition Notification (MDN) MDN Correlation Payload Agnostic (EDI & non-EDI Messages) Partner Agreement management Inbound & Outbound Trading Partner Resolution Support for Non-repudiation of Receipts (NRR) Message Signing & Signature Verification Message Encryption & Decryption Message Compression & Decompression Activity Reporting through BAM Interchange Generation & Processing Interchange Batching & De-batching Functional & Technical Acknowledgement Generation & Correlation Inbound & Outbound Trading Partner Resolution Dynamic inbound Schema Resolution Partner Agreement Management Activity & KPI Reporting through BAM 8000 SchemasL X12, HIPAA, EDIFACT, EANCOM • • • SWIFT HL7 RosettaNet • • Metadata Management Trading Partner Portal BizTalk B2B • Industries SWIFT Core System BizTalk Server Accelerator for SWIFT Translation Validation Business Process Enrichment Integration SWIFT Alliance Access/Gateway SWIFT Net Easy and affordable to Implement Maintain Change Support new standards Back-end system insulated A4SWIFT View SWIFT Network Financial System (SAP) Create & Repair SWIFT Messages Reconciliation & Business Monitoring Idoc SharePoint Portal InfoPath Workstation Orchestration MT MX Send Pipeline Receive Pipeline Disassemble Validate Assemble Assemble Schema Repository XSD Business Rules Engine Reference Data SAA RAHA MQSA FA / IA MQ Series BizTalk Server BAM Portal Adapter Map SAG Message Box Encode BizTalk Accelerator for SWIFT Modern EDI Solutions with a Holistic view APPLICATION Modern EDI Solutions with BizTalk ADT HL/7 Messaging ? DFT BizTalk Server + Accelerator for HL7 How should Healthcare Integration Work? Re-thinking Healthcare Processes and messaging as a Set of Services / Capabilities / “Cloud” Services 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 BizTalk Routing, Mapping, Transformation, Process Orchestration, Adapters, Publish/Subscribe Services, End Point Resolution, Error Handling, … Service Consumers Validation Services Monitoring Services Security Services Translation Services External Business Rules “Cloud” or SaaS Services (i.e. ICD-10 Services) Service Providers HIPAA Transaction Flow Overview Health Plan Plan Sponsor (Employer Group) Subscriber (Member) Enrollment 834 - Enrollment 820 – Premimum Payment Accounts Payable Premimum Payment Providers 870 – Eligibility Inquiry Enrollment Contract (Plan Administration) 871 – Eligibility Response Premiums Received (Accounts Receivable) 876 – Authorization Request Pre-Adjudication Claims Adjudication / Processing / Coordination of Benefits 878 – Authorization Response BizTalk Server for EDI/HIPAA Patient Mgmt / Clinical Care 837 – Claim P.I.D 277 – Add info Req Patient Billing 275 – Claim Attachments 275 – Claim Status Inq Claims Payment Accts Payble Patient Registration and Admission Scheduling 277 – Status Resp. Accounts Receivable 835 – Remittance Advice BizTalk Server for EDI/HIPAA 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 Pharmaceutical & Healthcare Client List Since 1994, we have compiled an impressive client list – including pharmaceutical, healthcare and other large firms. 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 RNIF 1.11.1 andand Full Support for RNIF 2.0 compliancy RNIF 2.0 compliancy. Chemical Industry Data Exchange (CIDX) Chem eStandards v2.0.2 Establish new trading partner relationships. Create, import, export, or reuse new process templates. Manage all RosettaNet-based transactions and existing processes. BizTalk Accelerator for RosettaNet Out-of-the-box public processes for all standard RosettaNet transaction patterns. Benefits of BizTalk Server What’s New in BizTalk? • • • • • Customer Quotes “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 Action Call To Action Appendix Thanks! © 2007 Microsoft Corporation. All rights reserved. Microsoft, Windows, Windows Vista and other product names are or may be registered trademarks and/or trademarks in the U.S. and/or other countries. The information herein is for informational purposes only and represents the current view of Microsoft Corporation as of the date of this presentation. Because Microsoft must respond to changing market conditions, it should not be interpreted to be a commitment on the part of Microsoft, and Microsoft cannot guarantee the accuracy of any information provided after the date of this presentation. MICROSOFT MAKES NO WARRANTIES, EXPRESS, IMPLIED OR STATUTORY, AS TO THE INFORMATION IN THIS PRESENTATION.