RealMed aligns with Tibco for HIPAA 5010, ICD-10 deadlines

Carl Natale
by Carl Natale

Healthcare claims adjudication vendor RealMed forged a pact with messaging specialist Tibco to create infrastructure that, the two vendors claim, will inject greater visibility into healthcare transactions.

Explaining how HIPAA 5010 and ICD-10 fit into the deal, RealMed's COO/CTO T.E. Rajagopal, says “we wanted to use this opportunity to help us prepare for and meet the HIPAA 5010 and ICD-10 migration deadlines and standards currently being mandated in the healthcare industry."

[Related podcast: Proper planning for ICD-10 training. See also: 5 Factors critical to HIPAA 5010, ICD-10 success.]

To that end, RealMed and Tibco will create an event-driven infrastructure to facilitate transaction processing through automated workflows that connect with RealMed's health plan and practice management systems. The medical claims clearinghouse said that with Tibco's BPM (business process management) technology, it will be able to ratchet up its daily transaction volumes to accelerate processing and payments.

The partnership detailed this week, and the ensuing infrastructure, is a beginning, according to a joint press release. Moving forward, RealMed says it intends to add to the platform with Tibco BusinessWorks, which will enable RealMed to “streamline processes” by integrating “distributed and incompatible data sets across multiple applications,” as well as Tibco's BusinessEvents, for collecting, filtering, and correlating transaction events, and Tibcos' Spotfire data analysis and reporting tool.