CareFirst BlueCross BlueShield Selects TriZetto's NetworX Pricer Software to Automate Claims Pricing and Help Manage Costs
September 21, 2006
CareFirst BlueCross BlueShield Selects TriZetto's NetworX Pricer Software to Automate Claims Pricing and Help Manage Costs. Check it out:NEWPORT BEACH, Calif. --(Business Wire)-- Sept. 21, 2006 -- The TriZetto Group Inc. (NASDAQ: TZIX) announced that CareFirst BlueCross BlueShield, the largest health insurer in the Mid-Atlantic region, has purchased NetworX Pricer(TM) to automate the administration of provider contracts and to reduce medical costs. The software automatically prices claims against provider contract terms, to speed the claims process and increase overall efficiency. Using NetworX Pricer, the health plan can automate over 90 percent of claims pricing, and cut in half the time it takes to set up and maintain provider contracts in its system. CareFirst is the thirty-third TriZetto customer to purchase NetworX Pricer.
"With NetworX Pricer, health plans can speed claims processing by eliminating the costs, potential errors and inconsistencies of pricing claims manually," said Jeff Hensley, chief technology officer. "Our software allows customers to use a wide array of discounting methods to better manage medical spending."
NetworX Pricer is a standalone product that can be used with any core administrative system. The software can help customers deliver more predictable results and better manage even the most complex contracts, so they can provide the best value for their members. Health plans can maximize speed and cost savings by using NetworX Pricer in conjunction with NetworX Modeler(TM), software that uses a health plan's real claims data to forecast costs against proposed provider rates and terms, making it easier to negotiate contracts and manage costs. Contracts can be moved electronically between the pricing engine and the modeler system, without being rebuilt.
About TriZetto
Touching more than 35% of the U.S. insured population, TriZetto is distinctly focused on accelerating the ability of healthcare payers to lead the industry's transformation. The company provides premier information technology solutions that enhance its customers' revenue growth, drive their administrative efficiency, and improve the cost and quality of care for their members. Healthcare payers include national and regional health insurance plans, and benefits administrators that provide transaction services to self-insured employer groups. The company's broad array of 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.
Important Notice Regarding Forward-Looking Statements
This press release contains forward-looking statements that involve risks and uncertainties. The forward-looking statements are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. These forward-looking statements may include statements about future revenue, profits, cash flows and financial results, the market for TriZetto's services, future service offerings, industry trends, client and partner relationships, TriZetto's operational capabilities, future financial structure, uses of cash or proposed transactions. Actual results may differ materially from those stated in any forward-looking statements based on a number of factors, including the effectiveness of TriZetto's implementation of its business plan, the market's acceptance of TriZetto's new and existing products and services, the timing of new bookings, risks associated with management of growth, reliance on third parties to supply key components of TriZetto's services, attraction and retention of employees, variability of quarterly operating results, competitive factors, risks associated with acquisitions, changes in demand for third party products or solutions which form the basis of TriZetto's service and product offerings, financial stability of our customers, the ability of TriZetto to meet its contractual obligations to customers, including service level and disaster recovery commitments, changes in government laws and regulations and risks associated with rapidly changing technology, as well as the other risks identified in TriZetto's SEC filings, including, but not limited to, its annual report on Form 10-K and quarterly reports on Form 10-Q, copies of which may be obtained by contacting TriZetto's Investor Relations department at 949-719-2225 or at TriZetto's web site at www.trizetto.com. All information in this release is as of September 19, 2006. TriZetto undertakes no duty to update any forward-looking statement to conform the statement to actual results or changes in the company's expectations.
Related Tags: networx pricer, looking statements, risks associated, carefirst bluecross, claims pricing, NetworX
- TMCNet » CareFirst BlueCross BlueShield Selects TriZetto's NetworX Pricer Software to Automate Claims Pricing and Help Manage Costs
Cosmos
Del.icio.us
Slashdot
Digg
BoingBoing
Furl
Spurl
Listed below are links to sites that reference CareFirst BlueCross BlueShield Selects TriZetto's NetworX Pricer Software to Automate Claims Pricing and Help Manage Costs:
Trackback Pings
TrackBack URL for CareFirst BlueCross BlueShield Selects TriZetto's NetworX Pricer Software to Automate Claims Pricing and Help Manage Costs:
http://blog.tmcnet.com/cgi-bin/mt3/mt-tb.fcgi/27299Previous blog: NCI, Inc. Schedules Third Quarter Conference Call
VoIP for Enterprise Home PageComments to CareFirst BlueCross BlueShield Selects TriZetto's NetworX Pricer Software to Automate Claims Pricing and Help Manage Costs
