© 2016 Lightwell Inc. • www.lightwellinc.com • North America +1 (614) 310-2700 • EMEA +44 (0) 845 226 0979

Lightwell Healthcare B2B Gateway

The Lightwell Healthcare B2B Gateway solution helps healthcare organizations address HIPAA requirements (levels 1-7) while reducing risk, cost and complexity across their B2B processes. Leveraging the best-of-breed capabilities of the IBM B2B Integration and Managed File Transfer solutions, along with Lightwell’s proven B2B Framework, the solution helps healthcare organizations:

• Automate complex B2B processes, including enrollments, eligibility, authorizations, claims, and payments

• Securely exchange all transaction types and formats with partners

• Reduce transaction errors and the costs of addressing them

• Reduce the time and effort required to research and reconcile transactions

• Gain end-to-end, real-time visibility and control

• Identify and address problems proactively

• Provide authorized staff and partners a secure, self-service environment to view and manage transactions

• Avoid penalties while ensuring HIPAA (all SNIP levels 1-7) and SLA compliance

• Reduce the risk of security breaches

Furthermore, it provides personalized dashboards and reporting to key individuals, helping them keep a pulse on activities as they happen, while helping them view valuable trends around transactions, performance, payments, and more.

Capabilities at a Glance

• Provides real-time document tracking

• Enables end-to-end document lifecycle visibility

• Provides visibility into where claims are in the adjudication business process

DOCUMENT, TRANSACTION AND

CLAIM VISIBILITY

• Provides centralized reporting on all data exchange events

• Provides real-time notifications and alerts of problems and failures

• Provides highly-personalized, configurable dashboards with drill-down capabilities

ALERTS AND REPORTING

• Supports any-to-any transformation

• Supports AI maps and ITX maps (built in HIPAA standards)

• Supports pre-validation, validation, and data enrichment for improving auto-adjudication rate

TRANSFORMATION AND AUTOMATION

• Enables the exchange of all transaction types and formats with partners

• Supports any-to-any integration and any-to-any protocolB2B COMMUNICATION AND COLLABORATION

• Provides encryption of data in motion and at rest

• Utilizes role-based access and provides identity management features

• Enables integration with enterprise security infrastructure

SECURITY

• Provides automatic SLA/SLC monitoring and alerting

• Provides audit trails to easily support yearly audits

• Ensures compliance with WEDI/SNIP (Levels 1-7) standards

HIPAA AND SLA COMPLIANCE

© 2016 Lightwell Inc. • www.lightwellinc.com • North America +1 (614) 310-2700 • EMEA +44 (0) 845 226 0979

Advanced Capabilities Provided by the Lightwell B2B Framework

• Enables users to easily search on transactions through a wide variety of criteria, including Claim IDs, Patient Identity Codes, Subscriber and Group IDs—whatever data is meaningful to the company.

POWERFUL SEARCH CAPABILITIES

• Users can easily find and view related transactions in a lifecycle, enabling them to quickly reconcile transactions while reducing the time and costs involved.

END-TO-END DOCUMENT LIFECYCLE TRACKING

• Users can quickly and easily reprocess and resend healthcare documents as needed

SIMPLIFIED RESENDING AND REPROCESSING

• Access to transactions can be extended—safely and securely—to authorized individuals across the company as well as trusted customers and partners via a self-service web portal.

SECURE WEB PORTAL ACCESS FOR AUTHORIZED

STAFF AND PARTNERS

• Alerts the right individuals about issues immediately and automatically so they can quickly address them. PROACTIVE ALERTS

• Simplifies and streamlines the partner onboarding process, reducing trading partner onboarding time from days or weeks to hours or minutes.

STREAMLINED PARTNER ONBOARDING AND

MANAGEMENT

• Provides individualized dashboards and reporting that enable individuals across the organization to gain insights around areas that matter most to them, including business, operational, and partner performance.

INDIVIDUALIZED DASHBOARDS AND

ADVANCED REPORTING

Furthermore, with the Lightwell Healthcare B2B Gateway solution, your organization will gain numerous competitive advantages as it is able to spot trends and opportunities quickly, deliver higher levels of customer service, and develop new revenue-generating offerings. Learn more about the Healthcare B2B Gateway and what it can do for you. Contact Lightwell today at info@lightwellinc.com or call us at (614) 310-2700.

Key Benefits

Significant reduction in resource time and costs associated with managing, reconciling and remediating errors and issues

Reduction of support calls and status inquiries from internal staff, partners and customers

Increased productivity while freeing up valuable resources

Compliance with legal and industry standards and avoidance of HIPAA and SLA-related penalties

Reduced risk of data security breaches, and avoidance of related costs and fines

Acceleration of revenue (for providers) and avoidance of late payment penalties (for payers)

Rapid detection and resolution of problems and issues

Improved performance and decision-making as a result of greater visibility

Improved partner, customer, and patient satisfaction