[April 29, 2013]

Topaz Shared Services Selects TriZetto's Trading Partner Solution to Enable Real-Time Provider Collaboration, Greater Efficiency and Innovation in Care Delivery

TriZetto Corporation today announced that Topaz^SM Shared Services, LLC, a health insurance technology and service provider, has selected TriZetto's Trading Partner Solution as its core EDI transaction management system. The cloud-based service enables real-time collaboration with providers, streamlined administration and support for new care-delivery models. The solution also helps the partners meet regulatory requirements for electronic transactions.

Last year, Topaz chose TriZetto (News - Alert) to provide an end-to-end enterprise technology platform that includes integrated benefit and care-management solutions, application management services and consulting services.

"TriZetto's Trading Partner Solution will align our customers' providers and solutions with our overall technology platform and business objectives," said Chris Woodfin, CFO of Topaz. "With the addition of TriZetto's solution, Topaz can manage an increasing volume of claims and transactions easily and efficiently. With secure, scalable many-to-many connections between payers and providers in real time, we can conduct business more quickly and accurately. Real-time integration features at the point-of-service cater to our customers' providers - a fundamental priority for Topaz. This technology will help our customers continue to hit their marks - to grow, negotiate lower costs, leverage best practices and launch innovative, consumer-centric care-delivery models."

Chris Hunter, senior vice president of TriZetto and president of its physician markets group, said the Trading Partner Solution will create a provider experience similar to the retail and financial services consumer experience.

"Whether it's a coffee purchase at Starbucks, a mailing from a UPS store or a cash withdrawal from an ATM, consumers expect ease and standardization in their experience," he said. "TriZetto's Trading Partner Solution eases and standardizes the eperience for providers, regardless of their location. More efficient, satisfied providers will greatly support Topaz's customers."

"The enhanced, real-time collaboration enabled by our Trading Partner Solution benefits Topaz on behalf of its Blue Cross Blue Shield customers and their healthcare providers," explained Tom Kearns, senior vice president, solutions management and Topaz Shared Services, at TriZetto. "It will significantly improve their operating efficiency and care-delivery collaboration. Operationally, TriZetto's solution will help reduce the number of calls, faxes and other manual inquiries. It will help eliminate much of the manual rework to process claims and appeals."

The Trading Partner Solution leverages TriZetto's extensive connectivity assets, large health plan client base and cloud-based technology to manage the many-to-many connections between payers and providers. The solution:

• Increases operational efficiencies
• Reduces costs
• Addresses compliance with changing and applicable regulations
• Replaces batch-based submissions with real-time submissions
• Supports member-liability estimation and real-time claims editing
• Enables rapid provider adoption:
  • More than 200,000 providers currently under contract
  • Supports integration with each provider's PM/EHR system of choice
  • 400-plus PM/EHR vendors under contract
  • Open solution supports integration with all clearinghouses and PM/EHR systems

The Trading Partner Solution from TriZetto streamlines operational efficiencies and extracts costs throughout the provider-to-payer ecosystem.

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About Topaz Shared Services, LLC

Topaz Shared Services delivers an integrated technology suite that allows health plans to get new products to market faster, innovate more effectively and gain cost efficiencies. Topaz was formed by Blue Cross and Blue Shield of North Carolina and Blue Cross and Blue Shield of Kansas City in response to impending market changes brought about by the Affordable Care Act, increased competition, and the need to offer consumers new options. The Topaz integrated technology solution will be operational in 2014.

BCBSNC and Blue KC are independent licensees of the Blue Cross and Blue Shield Association. The cross and shield are registered marks of the Blue Cross and Blue Shield Association; all other marks are the property of their respective owners.

About TriZetto

TriZetto delivers world-class information solutions that enable healthcare organizations to work more efficiently and collaboratively to deliver better health. Its solutions reach 200,000 care providers, streamline processes for more than 360 payers and touch over half the U.S. insured population. TriZetto solutions help health plans and TPAs increase administrative efficiency, improve the cost and quality of care, and succeed in the retail healthcare market. Its solutions help physicians and health systems simplify business processes and execute strategies for population health management and accountable care. TriZetto's healthcare experience, innovative solutions and comprehensive services help simplify healthcare for everyone. For more information, visit www.trizetto.com.

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