DEVELOP: Prescription Drug Fraud Prevention - An HPE Shadowbase Data Integration Case Study

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DEVELOP: Prescription Drug Fraud Prevention - An HPE Shadowbase Data Integration Case Study

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DEVELOP: Prescription Drug Fraud Prevention - An HPE Shadowbase Data Integration Case Study

Speaker:
William Holenstein
Sr. Manager, Product Delivery
Gravic

 

Managing a country’s prescription drug claims fraud is big business, costing billions of dollars, and crossing many functional areas, including healthcare information management, finance, verification, accounting, and fraud prevention. To help the country’s government healthcare agency stem the losses, a centralized claims fraud adjudication and prevention decision support system was implemented. The agency chose HPE Shadowbase data replication software to provide real-time replication from an HPE NonStop system to an intermediate Solaris/Oracle RAC staging database, in preparation for being loaded into a prevention decision support system. Shadowbase Online Loading (SOLV) was used to perform the initial load of the staging system; SOLV allows loading of the Oracle RAC staging database without any outage of the claims processing application. Multiple Shadowbase replication paths were established between the various redundant systems to provide both localized high availability as well as geographic disaster tolerance. If an active system or path fails, processing and replication will continue using alternate/standby systems and paths, keeping the claims data current on the fraud adjudication and decision support system. The updated system now assures the agency that its important healthcare data is fault tolerant and highly available, while decreasing costs and helping to stem the opioid epidemic, and allowing law enforcement to monitor and investigate fraudulent claims activity.

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