© Hexaware Technologies. All rights reserved. www. hexaware.com Development, Maintenance & QA for Leading IT Service Provider for the Healthcare Industry Client Overiew Business Situation: Client Benefits: The client needed a robust Enterprise data solution in order to make IT governance improve- ments. It currently had multiple systems that were inefficient and costly. The client was looking for innovative technology solutions that would help them achieve new levels of efficiency and cost savings. As a result of their work with Hexaware, the client was able to achieve high levels of compliance while making their technology solution more efficient and streamlined. Through improved data management the client was able to improve their performance for claims, enrollments and improve their rate of auto adjudication. Our client is a large independent provider of services for self-funded health plans in North America. Hexaware Approach: Hexaware took a multi-step approach to helping the client achieve their goals. • Analytics for monitoring • Data transmission loss ratio (claims and enrolment) Enterprise Data Exchange: Tactical Monitoring: Data Management and Process Consolidation: ICD 10 Compliance and Obama care: ECM: Information Security and Infrastructure: • Meta data extraction • Data flow process control/audit mechanism • Assessment of entire system • Remediation for compliance • Document management • Records management • Web content management • Business process management • Implementation of HIPAA 5010 • Enterprise-wide data integration using BizTalk • SOX compliance • Data transmission controls (Scheduling and FTP) Case Study Healthcare & Life Sciences Enterprise Data Feed Standardization: • ASM for Enterprise Data Management • Data integration process standardization • Meta data capture for data feeds