Name
Title
Microsoft Corporation
EDI Specialists: Company Overview
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Privately held EDI/ IT staffing & workforce solutions provider since 1994
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Corporate headquarters in Massachusetts
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Satellite offices in GA, ME, NC and TX
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Clients range from SMBs to Global 2000
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Ranked on the Staffing Industry Analyst list of Fastest-Growing Staffing Companies
2009
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Five year growth average of 32%
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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
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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…..
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Microsoft Gold Certified Integration Partner
Microsoft Duet Partner
Core BizTalk partner
Member-Microsoft SAP Alliance team
Member Microsoft Partner Advisory Council
Specializing in:
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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
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SWIFT
HL7
RosettaNet
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Metadata Management
Trading Partner Portal
BizTalk B2B
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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
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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:
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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.
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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?
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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!
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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
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