Case Study: Multi-State Managed Care Organization achieves 70% lower HIPAA 5010 assessment cost with Infosys Public Services

HIPAA 5010 Impact Analysis for a California-Based Medicaid and Medicare Plan

Multi-State Managed Care Organization, a multi-state Medicaid and Medicare managed care provider, needed to assess the enterprise-wide impact of HIPAA 5010 across systems, applications, reports, interfaces, and business processes. The organization faced a massive code inventory spread across multiple states, including tens of thousands of stored procedures, hundreds of interfaces and reports, and limited documentation, making manual analysis impractical. Infosys Public Services was engaged to support the impact assessment using its iTransform™ product suite.

Infosys Public Services completed the HIPAA 5010 assessment in seven weeks, delivering AS-IS process maps, business and technical impact reports, and a remediation roadmap. Using iTransform™ and related analysis methods, Infosys identified more than 105,000 front-end/EDI impact points and over 85,000 backend impact points, while reducing assessment cost by 70% versus a manual approach. The engagement also produced documentation of existing transaction flows and a clear strategy for remediation and transition.