Two BlueCross BlueShield Plans Select TriZetto's Software to Determine Patient Liability and Adjudicate Claims in Real-Time
24 Juin 2008 - 1:30PM
Business Wire
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.
Trizetto Grp. (MM) (NASDAQ:TZIX)
Graphique Historique de l'Action
De Juin 2024 à Juil 2024
Trizetto Grp. (MM) (NASDAQ:TZIX)
Graphique Historique de l'Action
De Juil 2023 à Juil 2024
Real-Time news about Trizetto Grp. (MM) (NASDAQ): 0 recent articles
Plus d'articles sur The TriZetto Group Inc.