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Focusing on your business so you can focus on growth

More than ever, outsourcing has become a strategic choice for payers, because it can deliver flexibility in uncertain times, meet demand for specialty skills, help reduce administrative costs, and accelerate speed to market for expanded offerings — all of which can provide competitive advantages.

TriZetto® BPO works with more than 65 customers annually, helping these organizations:

  • Achieve cost savings of as much as 40% in claims processing
  • Increase procedural accuracy to 99.4%
  • Reach financial accuracy of 99.6%
  • Decrease overall core administration expense an average of 20%

TriZetto BPO Services include:

  1. Configuration
  2. Front-End
  3. Claims Administration
  4. Enrollment
  5. Billing
Flexible delivery models – Payers can outsource on an ongoing basis or as needed to complete "on-demand" projects. And payers can choose to outsource pieces of the business or outsource entire business processes.

Flexible sourcing models – With more than 700 professionals, 70% of whom have college degrees, working in onshore and offshore facilities, TriZetto can help meet the scale, scope and cost demands of any payer organization.

Platform agnostic – TriZetto’s knowledgeable resources have extensive claims, billing and enrollment experience on most core administrative systems, including the Facets™, QNXT™ and QicLink™ platforms as well as PowerSTEPP® (XTEN), Amisys, PowerMHS®, PowerMHC®, Diamond, Xcelys®, EZ-CAP®, Claims Manager, Health LX (LuminX), MetaVance®, GBASS and FACTS™.




PowerSTEPP® (XTEN), Amisys, PowerMHS®, PowerMHC®, are trademarks owned by DST Health Solutions. Diamond, Xcelys® are trademarks owned by Dell. EZ-CAP® are trademarks owned by EZ-CAP. Claims Manager is owned by Plexis Healthcare Solutions. Health LX (LuminX) is owned by EBIX. MetaVance is a trademark owned by EDS. GBASS is a trademark owned by SunGuard. FACTS is a trademark owned by FACTS Services.

"The TriZetto Group, Inc. is not affiliated with these companies"

Information
For more detailed information, please call 1-800-569-1222.

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