Trizetto Grp. (MM) (NASDAQ:TZIX)
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The TriZetto Group Inc. (NASDAQ: TZIX) today announced two new customers
for the company’s real-time patient liability
and point-of-service claims adjudication software, Provider POS Direct™.
Blue Cross and Blue Shield of Kansas City (BCBSKC) and Blue Cross and
Blue Shield of Rhode Island (BCBSRI) are the latest health plans
embracing the value of real-time claims adjudication by selecting
TriZetto’s Provider POS Direct application.
BCBSKC has nearly 900,000 members and 4,000 network providers; BCBSRI
has more than 680,000 members and nearly 3,900 network providers.
Additionally, BlueCross BlueShield of Tennessee last year incorporated
the software to serve 2.3 million members and the 75,000 providers in
its network.
The Provider POS Direct application will be hosted for BCBSRI in a
TriZetto data center.
The Provider POS Direct software helps payers improve the cost of care
with an application that supports providers’
financial operations and improves cost transparency. By automating the
delivery of accurate, real-time information to providers, the Provider
POS Direct application helps increase payer administrative efficiency
and improve member, provider and employer satisfaction.
TriZetto’s Provider POS Direct software
determines the patient’s financial liability,
the provider’s negotiated charge and the
health plan’s expected payment at any time --
before, during or after care, enabling providers to collect the patient’s
liability when the appointment is scheduled, at check-in or at
check-out. The Provider POS Direct application helps improve cash
collections, reduce unnecessary billings and minimize bad debt because
the application enables real-time and direct access to accurate billing
information much earlier in the revenue cycle between the member,
provider and payer.
“BCBSKC and BCBSRI are shining examples of
health plans forging long-term quality relationships with providers,”
said Dan Spirek, executive vice president and chief solutions officer
for TriZetto. “They are progressive for
identifying and implementing software that enables real-time patient
liability determination and claims processing.”
The Provider POS Direct software can be integrated with provider
information systems and core payer administrative systems. The software
is built on service-oriented architecture, with Internet browser
capability, Web services for HIPAA compliance and ease of
interoperability with legacy applications.
About TriZetto
TriZetto is Powering Integrated Healthcare Management™.
With its technology touching nearly half of the U.S. insured population,
TriZetto is uniquely positioned to drive the convergence of health
benefit administration, care management and constituent engagement. The
company provides premier information technology solutions that enable
payers and other constituents in the healthcare supply chain to improve
the coordination of benefits and care for healthcare consumers.
Healthcare payers include national and regional health insurance plans,
and benefits administrators that provide transaction services to
self-insured employer groups. The company’s
payer-focused information technology offerings include enterprise and
component software, hosting and business process outsourcing services,
and consulting. Headquartered in Newport Beach, Calif., TriZetto can be
reached at 949-719-2200 or at www.trizetto.com.