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February 08, 2016 7:19 PM ET

Health Care Technology

Company Overview of TriZetto Corporation

Company Overview

TriZetto Corporation develops healthcare information technology solutions and services for health plans, benefits administrators, health systems, and healthcare providers. It offers benefits administration, network and care management, consumer portals, population health management, value-based benefit design and reimbursement, provider connectivity, revenue cycle management, and analytics solutions for payers; and provider solutions in the areas of patient access, claims, collections, denial management, contract management, and customer care. The company also provides infrastructure and application management services, such as application hosting and infrastructure services, remote applicat...

9655 Maroon Circle

Englewood, CO 80112

United States

Founded in 1997





Key Executives for TriZetto Corporation

Chief Executive
President of Payer Market
Senior Vice President of Payer Solutions Management
Senior Vice President of Human Resources
Compensation as of Fiscal Year 2015.

TriZetto Corporation Key Developments

New England Healthcare Exchange Network Selects Cognizant and TriZetto for Technology Innovation and Collaboration

Cognizant announced that the New England Healthcare Exchange Network has selected Cognizant and its subsidiary TriZetto to digitally transform and manage its technology infrastructure to foster seamless collaboration across member organizations, optimize costs, and improve efficiency and patient care. As part of a multi-year agreement, Cognizant will combine its consulting, IT and business process as-a-service capabilities with TriZetto's technology products to enable NEHEN's health information exchange to process more than 8 million transactions every month. By simplifying technology deployment and adoption and implementing Cognizant and TriZetto's innovative solutions, NEHEN will be able to accelerate its mission of helping members streamline operations and change the way healthcare is delivered and reimbursed. TriZetto's payer solutions include benefits administration, care management, network management and portal platforms. Its provider solutions include real-time eligibility assurance, claims editing, and revenue cycle management technology services that help providers get paid quickly and accurately.

TriZetto Corporation and Orbograph Launch paperResolve(TM)

TriZetto Corporation announced that its TriZetto Provider Solutions (TPS) business unit has launched its paperResolve(TM) solution, which automates the posting of paper explanation of benefits (EOB) forms. The system applies a variety of automation technologies to the originating paper; generating EDI 835 ERA (electronic remittance advice) files for electronic posting into patient account systems, saving providers as much as 60% in processing costs per claim based on typical client results. Posting paper payments and EOBs manually can be a slow and tedious process, costing $1.77 more per-transaction than electronic 835 remittance files. This time-consuming process also can result in costly mistakes from incorrectly entered information. With the paperResolve solution, practices can simply scan paper EOBs and the data is automatically and accurately converted into an electronic format, reducing staff time and greatly reducing the possibility of error from manually rekeying data, thereby helping practices secure reimbursements more quickly. TriZetto Provider Solutions developed its paperResolve solution in partnership with Orbograph, a premier supplier of healthcare payment automation solutions. The highly efficient and cost-effective paper conversion platform integrates with TPS' eobResolve(R) contract compliance solution.

Santa Clara Family Health Plan Selects TriZetto for Integrated Solutions and Services

TriZetto announced that it was selected by Santa Clara Family Health Plan (SCFHP) to provide integrated administrative solutions and services that will support SCFHP's participation in a duals demonstration project involving the state of California, the Centers for Medicare & Medicaid Services (CMS) and several state counties and health plans. The three-year project, Cal MediConnect, aims to improve care and control costs for beneficiaries eligible for both Medicare and California's Medi-Cal program. Dual-eligible beneficiaries account for an inordinate share of healthcare costs because they often live with complex and costly medical conditions. TriZetto is providing SCFHP with integrated solutions that include core administration, enrollment administration, encounter data management, and application management services. TriZetto's experience figured prominently in its selection from a competitive field. TriZetto's application management services for SCFHP include data-center hosting, disaster recovery operations, security provisions and help-desk services, as well as system management that will update the platform and help it run smoothly. Additionally, these services improve system performance and availability for a flat, predictable monthly fee. TriZetto's core administration system will simplify benefits administration for SCFHP's duals demonstration project. For every office visit or other medical service, the system will automatically process both Medicare and Medicaid benefits for the dual-eligible member with a single claim submission, claim payment and remittance advice. TriZetto's Enrollment Administration manager and Encounter Data Manager solutions will support separate reporting for Medicare and Medicaid and provide specialized functionality such as reconciliation and member true-up with CMS.

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