TriZetto’s Newest Facets Version Offers More Than 80 Enhancements to Further Improve Payer Administrative Efficiency, Support New Disability Line of Business and Seize Advantage From Reform

GREENWOOD VILLAGE, Colo.--(BUSINESS WIRE)--The TriZetto Group, Inc. today announced the general availability of its Facets^TM 4.8 release, the newest version of the company’s industry-leading enterprise core administration platform. This newest release introduces more than 80 enhancements that can help increase administrative efficiency for health plans.

“Further, for some payers, the Facets platform has reduced administrative costs up to 30 percent and improved commercial auto-adjudication rates 40 to 50 percent. Also, the TriZetto system has increased claims-processor productivity by 70 percent.”

TriZetto’s Facets system automates membership enrollment, premium billing, claims adjudication, customer service and other administrative functions of 82 payers with more than 90 million covered lives. TriZetto’s vice president of product management, Kathy Wiley, said that the increased functionality of the Facets 4.8 version will further enhance health plan customers’ administrative efficiency and improve the system’s scalability to support the membership growth of payer organizations.

“The TriZetto Facets system’s new disability module will allow payers to generate a new revenue stream with a new line of business, or consolidate multiple businesses onto a single platform and increase administrative efficiency,” added Wiley. “This module uses the same member data as the Facets system to pay claims and bill employer groups; support W-2s, letters and tax information; and provide integrated customer service views. We also integrated the use of the TriZetto Communication System, which was created to manage inbound and outbound communications and correspondence across all TriZetto applications.”

The TriZetto Communication System will have extended capabilities, including the ability to generate and manage customized letters, convert existing letter headers and templates, and allow users to request, reprint and view correspondence as it appeared the day the correspondence was sent.

The Facets 4.8 version’s more than 80 enhancements also include the ability to identify limit accumulators for claim lines; new enhancements to simplify the configuration of services and benefits; the ability to leverage ICD-10; and new enhancements to support patient-centered medical home programs, including tracking provider and member participation in programs and member risk scores. Version 4.8 supports the Council for Affordable Quality Healthcare’s Committee on Operating Rules for Information Exchange (CORE) phase 1 and phase 2. Like the previous Facets 4.7 version, version 4.8 supports health plan customers’ ICD-10 and HIPAA 5010 compliance. To help meet compliance deadlines, payers can use TriZetto Advantage Services™ and the TriZetto Advantage Compliance Plus™ services to implement Facets version 4.8.

All of the enhancements improve a platform that already has differentiated itself from the competition. “TriZetto’s Facets 4.8 version is ahead of the competition in supporting health plans’ efforts to meet compliance deadlines to begin ICD-10 and HIPAA 5010 coding,” said Tony Bellomo, TriZetto’s president. “Further, for some payers, the Facets platform has reduced administrative costs up to 30 percent and improved commercial auto-adjudication rates 40 to 50 percent. Also, the TriZetto system has increased claims-processor productivity by 70 percent.”

About TriZetto

Founded in 1997, TriZetto is focused on world-class software and service solutions to help customers win in an era of reform and transform the industry with increased payer and provider collaboration and connectivity. Integrated Healthcare Management, TriZetto’s vision for the industry, is the coordination of benefits and healthcare to drive more value from every healthcare dollar spent. With its technology touching half of the U.S. insured population, the company's offerings include enterprise and component software, IT outsourcing services, business process outsourcing services and consulting that help customers transform and optimize their operations to enhance revenue growth, to drive administrative efficiency and to improve the cost and quality of care.