How IBM ITXA Improves Healthcare Payments

ITXA Helps Your Organization Meet HIPAA Requirements

The Health Insurance Portability and Accountability Act of 1996 (HIPAA) set the foundation for compliance with regulations in the healthcare industry that decide how organizations can communicate, exchange documents, and make payments. Due to the sensitive nature of patient records and insurance data, HIPAA regulations are among the most strict of any industry in the world.

IBM ITXA allows you to exchange and process complex documents and healthcare payments in high volumes while remaining completely HIPAA compliant. Organizations can even use ITXA to validate data across their entire supply chain.

To configure ITXA for the specific needs of the healthcare industry, IBM offers a bundled ITX Pack for Healthcare. With ITX for Healthcare Payer, your ITXA interface will handle custom validations, and administrative features for HIPAA compliance get simplified.

ITX Pack for Healthcare Payer provides:

• Support for WEDI/SNIP levels 1-7.
• HIPAA type 7 Comparison Guide validations
• Support for the ICD-10 mandate
• Application Reporting with 824
• Dynamically separates valid claims from invalid claims
• Compatible with Etracks

The IBM ITX Packs allow companies to purchase the unique features they need without paying for a bunch of additional features that they will never end up using.

Support for SWIFT, SEPA, and ISO 20022 Payment Types

Healthcare organizations need the ability to accept various types of healthcare payment transactions that differ from international regions and compliance requirements set by both trading partners in the transaction. Three of the most critical payment types are SWIFT, SEPA, and ISO 20022.

• Society for Worldwide Interbank Financial Communications (SWIFT) – A messaging network for financial institutions to securely exchange information using standardized codes.
• Single Euro Payments Area (SEPA) – Simplifies bank transfers of euros between members of the European Union and the European Free Trade Association.
• ISO 20022 – Developed by the International Standard Organization in 2004 to provide a framework for multiple messages and XML schema to co-exist in groups of message sets.

IBM ITXA ensures healthcare providers can receive healthcare payments using the most secure and widely integrated methods anywhere in the world. ITXA also supports EDIFACT and X12 transactions for other B2B communication requirements.

High Availability and Scalability

Large healthcare organizations require speed and power from all of their business software. It only takes one slow process to create a bottleneck in the entire supply chain.

When IBM upgraded SPE to ITXA, the two things they had in mind were power and simplicity. With ITXA, you get the enterprise-caliber processing power that IBM is known for, combined with the easy-to-use features that make the user experience a breeze.

ITXA offers:

• Simple trading partner onboarding – Save time and money on the usual onboarding hassles with ITXA's trading partner onboarding features
• Intuitive mapping – Mapping is easy for users who have experience with GenTran: Server, WTX, and B2B Integrator
• Ease of implementation – Implementation is significantly quicker and easier than that of competing transformation engines on the market
• Dynamic enveloping – You only need one set of envelopes for all of your outbound EDI files

IBM ITXA is by far the most powerful, flexible, and scalable transformation processing engine IBM has ever released. Plus, it is also cost-effective, making it a wise investment for healthcare companies.

As an IBM Advanced Business Partner, we can help you select and implement the best IBM solutions for your organization – and we can even save you money in the process. If you would like to learn more about ITXA and how it will fit into your healthcare organization, we are more than happy to provide all the assistance you need.