AvMed Health Plan Uses SeeBeyond to Help Meet HIPAA Transaction Requirements and Optimize Business Processes.Business Editors/High-Tech Writers REDWOOD SHORES, Calif.--(BUSINESS WIRE)--Nov. 20, 2002 SeeBeyond Provides Open, Extensible Infrastructure For Florida's Largest Not-For-Profit Health Plan SeeBeyond (Nasdaq:SBYN), the leading global provider of eBusiness and Application Integration (eAI) solutions, today announced that AvMed Health Plan, Florida's largest not-for-profit health plan, has implemented the industry-leading SeeBeyond(TM) Business Integration Suite to achieve business efficiencies and broader system integration to enhance customer service and satisfaction. Using the SeeBeyond solution to help meet all Health Insurance Portability And Accountability Act The Health Insurance Portability and Accountability Act (HIPAA) was enacted by the U.S. Congress in 1996. According to the Centers for Medicare and Medicaid Services (CMS) website, Title I of HIPAA protects health insurance coverage for workers and their families when (HIPAA (Health Insurance Portability & Accountability Act of 1996, Public Law 104-191) Also known as the "Kennedy-Kassebaum Act," this U.S. law protects employees' health insurance coverage when they change or lose their jobs (Title I) and provides standards for patient health, ) transaction requirements, AvMed is live with the 837 Professional Healthcare claim transaction set and the 277 Eligibility response transaction set, with other HIPAA transaction sets to follow shortly. In addition, SeeBeyond enables the automation of most of AvMed's internal transformation processes reducing costs, and maximizing existing IT investments. Utilizing SeeBeyond's integration solutions, AvMed has transitioned from a 100% manual processing environment and continues to move toward its goal of electronically processing 25% of its claims by the end of 2002, dramatically reducing the time and resources spent on processing such claims. "As a key component to AvMed's overall I/T I/T Inner Tank strategy, SeeBeyond's integration solution allows AvMed to seamlessly connect and access essential information," said John Higbee, VP & Chief Information Officer for AvMed Health Plan. "Where the exchange of critical data has become an important factor in bolstering customer satisfaction, while keeping administrative costs administrative costs, n.pl the overhead expenses incurred in the operation of a dental benefits program, excluding costs of dental services provided. under control, SeeBeyond has delivered." Using SeeBeyond technology, AvMed integrates numerous systems, applications and technologies including the AMISYS Managed Care system, an Imaging and Workflow system, databases and Web and FTP servers to create an extensible infrastructure, ultimately connecting diverse data systems and processes throughout the organization. "Streamlining and integrating business systems, applications and technologies within a diverse infrastructure can be a complex and challenging undertaking for any business," said Scott Harper, vice president of Healthcare for SeeBeyond. "SeeBeyond simplifies this significant challenge by providing open, scalable and process-driven business integration solutions that companies can easily deploy, delivering visibility across the organization." About AvMed AvMed is Florida's largest not-for-profit health plan, enhancing access to quality healthcare in all major metropolitan areas of the state. The National Committee for Quality Assurance National Committee for Quality Assurance Medical practice A private, not-for-profit organization which has become the leading accreditor of managed care plans; in site visits, NCQA reviewers evaluate a managed care plan in terms of quality management, physicians' (NCQA NCQA National Committee on Quality Assurance, see there ) has awarded AvMed an accreditation status of Commendable for service and clinical quality that meet or exceed the NCQA's rigorous requirements for consumer protection and quality improvement. AvMed holds this accreditation for both its commercial and Medicare products in all of its regional markets. About SeeBeyond As the leading global provider of eBusiness and Application Integration (eAI) solutions, SeeBeyond (Nasdaq:SBYN) provides a unified, comprehensive platform for business integration, enabling a Real-Time Information Network to facilitate the seamless flow of information. Delivering Visibility, Velocity and Value across global operations, the SeeBeyond(TM) Business Integration Suite helps organizations dramatically improve business operations resulting in reduced costs, increased market share and improved customer service. SeeBeyond has more than 1,725 customers worldwide, including ABN Amro, Bausch & Lomb, Blue Shield of California Blue Shield of California is a not-for-profit health insurance provider headquartered in San Francisco, California. An independent licensee of the Blue Cross and Blue Shield Association, Blue Shield of California is an incorporated, wholly owned subsidiary of California Physicians' , Blue Cross Blue Shield Blue Shield A US not-for-profit health care insurer that is a reimbursement intermediary for physicians. Cf Blue Cross. of North Carolina, BMW BMW in full Bayerische Motoren Werke AG German automaker. Founded as an aircraft engine manufacturer in 1916, the company assumed the name Bayerische Motoren Werke and became known for its high-speed motorcycles in the 1920s. Group, Horizon Blue Cross Blue Shield of New Jersey, Children's Hospital of Philadelphia The Children's Hospital of Philadelphia is one of the largest and oldest children's hospitals in the world. "CHOP" has been ranked as the best children's hospital in the United States by U.S. News & World Report and Child Magazine in recent years. , The Dial Corporation, DuPont, General Motors, Hewlett-Packard, Meriter Health Services, Pfizer and Sprint. For more information, please visit www.seebeyond.com. Note to Editors: SeeBeyond is a trademark of SeeBeyond Technology Corporation SeeBeyond Technology Corporation (formerly Software Technology Corporation) was a software company listed on the NASDAQ stock market (NASDAQ: SBYN). On 28 June 2005 the sale of the company for $387m to Sun Microsystems was announced; the deal was completed by August. . All other brands or product names are trademarks of their respective owners. |
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