HIE to deliver HIPAA-compliant real time integrated e-healthcare solution

Marietta 29 November 1999HIE Inc., a major enterprise application integration (EAI) software and services provider, has released an updated version of Cloverleaf 3.6 that integrates full support of the freshly created X12N electronic transmission standard mandated by the Health Insurance Portability and Accountability Act. The 1996 HIPAA regulates the simplification of administrative health care insurance processing and standardisation of electronic patient health and financial data. The goal of HIPAA is to facilitate better data interchange between organisations, while protecting the confidentiality and privacy of patient information.

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Cloverleaf has expanded its support of X12 to include X12N and the nine new electronic transactions outlined by the HIPAA legislation. The financial and administrative transactions incorporated in the X12N standard involve items such as health claims processing, health plan eligibility, and medical referral certification. Cloverleaf's Advanced Security Module, which was introduced in September 1999, in combination with the X12N message adapter, will help health care delivery organisations comply with HIPAA's electronic data interchange (EDI) and security requirements.

HIE Company is poised to help health care delivery organisations and payers proactively deal with HIPAA's industry-sweeping changes, as stated by HIE president and CEO, Robert Murrie. "With the new HIPAA regulations, all health care providers and payers who are currently using EDI engines to batch process information will need to send and receive X12N messages in real time. Cloverleaf is not only an interactive, but also real time business to business integration solution that goes beyond traditional EAI tools as future versions include additional EDI functionality."

For health care delivery organisations to compete in the new HIPAA world, it is imperative that they examine their manual and automated processes, how they treat and process patient data and e-commerce transactions with other HIPAA stakeholders and insurance payers, according to Rey Currie, HIE vice president, product marketing. These organisations now require capabilities which can provide them with the capacity to implement internal integration automation solutions, as well as the ability to perform secure e-commerce based and HIPAA-compliant transmissions.

"The HIE Company is seeking to provide organisations with Cloverleaf technology and services with a proven return on investment which are able to convert slow, batch-oriented, costly, inaccurate, manual processes into an automated, real time, reliable, scalable and secure integration solution that can improve process flow, eliminate inefficiencies and reduce data latency, in order to achieve business-to-business straight through processing", as Rey Currie claims.

The next version of Cloverleaf is scheduled to be released in the first quarter of 2000, and will include support for eXtensible Markup Language (XML), a World Wide Web Consortium (W3C) standard. XML parsing and message creation will be incorporated in Cloverleaf 3.7 through a stand-alone XML Adapter daemon.

XML is being embraced by the enterprise computing community as the next integration catalyst, according to Deborah Dean, HIE senior vice president of research and development. "XML is fast becoming the leading way in which application vendors are opening up their applications for interfacing to other applications. Many standards organisations, like Health Level Seven (HL7), are using XML as an authorised way of encoding their messages. We believe that Cloverleaf will play a major part in facilitating XML integration, thus providing robust scalable and reliable enterprise broker services to all applications, XML-based or not."

The Cloverleaf integration engine is also applied to integrate data for CMIS, the Comprehensive Medical Information System project at NASA's Johnson Space Center. Please read this month's VMW article Cloverleaf to integrate astronaut medical records into one single NASA database to learn more about it. More details about the HIPAA regulations are available in the September 1999 article New U.S. privacy act calls for extreme caution in globalizing the patient record.


Leslie Versweyveld

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