[May 23, 2013] TriZetto announces new version of enterprise core administration system Tweet May 23, 2013 (Datamonitor via COMTEX) -- TriZetto Corporation, a healthcare IT company, has announced the availability of the 5.00 version of its QicLink enterprise core administration system, the platform used by the third-party health benefit administrators, or TPAs. The company also announced an upgrade to the new version by Springfield, Mo.-based Mercy Benefit Administrators. The new 5.00 version of the system supports ICD-10 compliance, providing data load, maintenance and inquiry functionality for TPAs migrating to the expanded diagnosis and procedure code set. The solution also enables ICD-10/ICD-9 crosswalk and code translation, the company said. The 5.00 release of TriZetto's QicLink enterprise solution enables clients with the clinical-editing module to define edits by network. This capability allows benefit administrators to apply different rules and actions for specific in-network claims than those for other in-network and out-of-network claims. Additionally, the 5.00 version offers a consumer-directed healthcare module that requires no adapter hardware or software to enable real-time web service requests and responses, the company added. "Our early conversion to TriZetto's QicLink 5.00 release allows us to incorporate the advantages of the product into our marketing efforts this summer, well ahead of open enrollment," said Jennifer Johnson, manager of claims administration for Mercy Benefit Administrators. "The ICD-10 readiness of TriZetto's platform puts us one step ahead of many others. It's a differentiator that can drive RFPs and help win new customers. The new version of TriZetto's solution gives us an edge when we promote our products and services at conferences." Johnson said TriZetto's enterprise system "positions Mercy Benefit Administrators as a leader in ICD-10." The solution syncs the TPA with the compliance initiative of Mercy health system, she added, as well as with the provider's model of care delivery and strategy as an accountable care organization. "Now, with our enterprise technology well in hand, we can focus fully on customer service. With the enhanced functionality of TriZetto's solution, Mercy Benefit Administrators can say 'We are' instead of 'We will,'" said Johnson. Scott Ray, TriZetto's senior vice president of benefits administration services and application management services, said, "It was a truly collaborative, highly successful effort, with our TriZetto upgrade team working in close coordination with the IS group and others throughout the Mercy organization. At any given time, each team knew what the other was working on, which items had been completed and which ones were outstanding. We greatly appreciate Mercy Benefit Administrators' partnership in our field trials of the new 5.00 platform. We are extremely excited to report an early go-live of the release and general availability of the 5.00 platform, delivered on time and with very high quality," added Ray. http://www.datamonitor.com Republication or redistribution, including by framing or similar means, is expressly prohibited without prior written consent. Datamonitor shall not be liable for errors or delays in the content, or for any actions taken in reliance thereon [ Back To TMCnet.com's Homepage ]