Case Study: Availity achieves HIPAA 5010 compliance and reduced operational risk with Informatica

Health care information network accelerates move to HIPAA 4010/5010A transaction processing; reduces compliance costs with Informatica

Availity, one of the nation’s largest health care information networks—serving more than 350,000 providers, 2,700 hospitals, 575 vendor partners and all health plans—faced the industry-wide challenge of meeting new HIPAA 5010 requirements without disrupting customer workflows. The company needed to ensure transaction continuity regardless of partners’ readiness, protect customers and stakeholders from system‑wide changes, and improve customer satisfaction and operational efficiency while minimizing compliance risk.

Using Informatica’s HIPAA 5010A Crosswalk Solution alongside PowerCenter and B2B Data Transformation (with address verification), Availity was able to convert data behind the scenes and support HIPAA 4010 and 5010 formats simultaneously. This out‑of‑the‑box approach insulated core systems, enabled phased partner‑by‑partner migration, reduced development and compliance costs, and lowered the risk and business impact of noncompliance while preserving customer workflows.

Availity

Trent Gavazzi

CTO