Data Mapping and Translation in
EDI System Generating EDI-834

OUR SOLUTIONS

• -Unified Data Model: Implemented a unified data model that served as a central representation of employee benefits data. This model facilitated standardized data across all internal systems.
• -Data Mapping and Transformation Engine: Developed a robust data mapping and transformation engine using Java to translate data from different sources to the standardized format required for EDI-834.
• -HIPAA-Compliant Security Measures: Implemented strong encryption, access controls, and audit trails to ensure the security and privacy of sensitive health information, aligning with HIPAA compliance requirements.

RESULTS ACHIEVED

• – Data Mapping Accuracy: Achieved a 99.5% accuracy rate in data mapping and translation, significantly reducing errors in EDI-834 files.
• – Real-Time Processing Time: Reduced processing time for EDI-834 generation to less than 2 minutes for a typical batch of employee benefits data updates.
• – HIPAA Compliance Audit: Successfully passed a third-party audit confirming compliance with HIPAA regulations regarding data security and privacy.

TECH STACK

• -Programming Language: Java
• -Data Modeling: Unified data model for benefits information
• -Data Mapping and Transformation: Custom Java-based engine
• -Security: Encryption, access controls, audit trails

CONCLUSION

The implementation of a Java-based EDI system successfully addressed the challenges related to data mapping and translation for EDI-834 generation. By unifying data models, developing a robust transformation engine, and ensuring HIPAA compliance, the organization achieved a streamlined and efficient benefits data exchange process. The solution not only improved data accuracy but also enhanced the organization’s ability to respond to changes in benefits information promptly. This case study demonstrates the effectiveness of a well-designed Java-based EDI system in overcoming data mapping and translation challenges in the context of healthcare benefits administration.