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实例探究 > GE Healthcare Transitions to Talend for Enhanced Claims Processing and Data Management

GE Healthcare Transitions to Talend for Enhanced Claims Processing and Data Management

公司规模
Large Corporate
地区
  • America
国家
  • United States
产品
  • Talend Data Services/ESB
  • Talend Data Mapper (TDM)
技术栈
  • Java
实施规模
  • Enterprise-wide Deployment
影响指标
  • Customer Satisfaction
  • Productivity Improvements
技术
  • 平台即服务 (PaaS) - 数据管理平台
  • 应用基础设施与中间件 - 数据交换与集成
适用行业
  • 医疗保健和医院
适用功能
  • 商业运营
服务
  • 系统集成
  • 培训
关于客户
GE Healthcare, a unit of General Electric Company, is a leading provider of medical technologies and services. The company is dedicated to innovations that reduce costs, increase access, and improve the quality of healthcare worldwide. With a workforce of over 10,001 employees, GE Healthcare operates on a global scale, offering a wide range of products and services that cater to various sectors within the healthcare industry. The company is headquartered in the United States and is known for its commitment to enhancing healthcare delivery through advanced technology solutions. GE Healthcare's EDI Services group, led by Sunder Bharadwajan, plays a critical role in managing electronic data interchange for healthcare claims, remits, and eligibility, processing over 1 billion transactions annually. The group is focused on ensuring compliance with industry standards and providing prompt customer service to healthcare organizations.
挑战
GE Healthcare faced a significant challenge when Oracle announced the end of life for the eGate integration engine, which was crucial for their electronic data interchange (EDI) services. This forced GE Healthcare to seek alternative solutions that could handle the vast amount of healthcare data transactions they process annually. The challenge was not only to find a replacement but also to ensure that the new solution could meet stringent SLAs and certifications, such as the CAQH CORE® standards, which require quick turnaround times for eligibility transactions. Additionally, GE Healthcare needed to maintain prompt customer service for claims processing, acknowledging every claim within 24 hours. The transition had to be seamless to avoid disruptions to existing customers, and the new system needed to support both standard and proprietary data formats.
解决方案
GE Healthcare chose Talend as the solution to replace the eGate integration engine. Talend was selected primarily because it is open source, providing the control needed to support GE Healthcare's existing architecture while setting the stage for future growth. During the proof of concept (POC), Talend's Professional Services team collaborated closely with GE Healthcare's engineers, offering training and consulting to ensure a smooth transition. The team utilized Talend Data Services/ESB and Talend Data Mapper (TDM) to facilitate the migration of data from eGate. Talend's platform supported GE Healthcare's X12 and proprietary data formats, with the consulting team assisting in developing TDM structures for these formats. The transition process involved establishing patterns for data transfer and addressing challenges such as customers using outdated X12 versions. The use of Agile methodology allowed for a seamless transition, with both eGate and Talend platforms running concurrently to ensure zero disruption to customers.
运营影响
  • GE Healthcare achieved zero disruption to existing customers during the transition to Talend. The team designed a process to make the transition almost invisible to customers, ensuring that both platforms could run concurrently. This approach allowed for a smooth enablement process, with multiple rounds of testing to ensure a seamless transition for each customer or payer.
  • The company consistently met and exceeded internal SLAs and external industry compliance standards regarding turnaround times. This was crucial for maintaining prompt customer service and ensuring compliance with certifications such as CAQH CORE® standards.
  • GE Healthcare is now positioned for growth, with plans to expand its EDI footprint beyond its existing portfolio. The data center's ability to process 40,000 transactions per hour at peak volume, with potential scalability to 80,000 transactions per hour, demonstrates the system's capacity to handle increased demand and support future growth initiatives.
数量效益
  • 1 billion transactions per year processed via EDI for healthcare.
  • From 40,000 to 80,000 transactions per hour, Talend helping data center handle more volume.
  • 126 payers on the system, with transactions now processed faster.

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