Trizetto Wins Capital Blue Cross

Just one week after signing a $32 million agreement with Indiana’s M*Plan The TriZetto Group, Inc. , the Newport Beach, Calif.-based healthcare ASP, today announced it has signed a five-year, $14 million contract with Capital Blue Cross of Harrisburg, Pa.

Under the terms of the agreement, TriZetto will host and manage Facets, its managed-care administrative software for the 1.4 million-member health plan, and provide provider-credentialing services.

Capital, founded in 1938, is the fourteenth Facets contract with a Blue Cross and Blue Shield (BCBS) plan and the first new BCBS Facets customer to contract with TriZetto for hosting services.

TriZetto says that for a monthly fee, Capital will have access to Facets technology through TriZetto’s main data center in Greenwood Village, Colo. and the software will perform functions such as enrollment, member eligibility and benefit tracking, billing and claims processing.

Facets technology will enable us to provide improved efficiencies to further our service capabilities to all our customers in Central Pennsylvania and the Lehigh Valley,” says Anita Smith, executive vice president of Capital.

Trizetto describes the firm as a “one-stop shop” for healthcare organizations, offering a combination of hosted applications and provider credentialing services through its Erisco and RIMS software brands and its HealthWeb e-business platform.

“Because TriZetto is focused 100 percent on healthcare, we have a thorough understanding of the business and the regulatory complexities facing the industry, such as HIPAA,” said Dan Spirek, president of TriZetto’s Business Solutions division.

“Given our healthcare expertise, we’re able to work with each customer to find the right combination of software and related services,” he says.

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