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TriZetto Group Includes Major Enhancements in New Facets Release

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Written by fisher   
Monday, 24 March 2008

This isn't just a minor software update.

The TriZetto Group Inc.'s release of Facets® 4.51, the newest version of its enterprise-wide core administration software for health care payers, contains dozens of improvements.

Rob Scavo, TriZetto's president of core administration solutions, explains.

"The newest release of the Facets software includes more than 100 enhancements that further ease and speed the administration of health benefits by our customers," he said. "This recent release demonstrates TriZetto's ongoing commitment to continually provide our customers with improved functionality that helps streamline their operations and meet new market challenges."

Enhancements to Facets 4.51 include:
  • A new keyword feature to help customer service representatives at health plans more easily find specific benefit information when fielding telephone inquiries.
  • A new tool that enables payers to make changes and corrections to debit cards used for medical services by members enrolled in consumer-driven health plans. 
  • Increased efficiency through the Workflow feature in the administration of flexible spending account claims that cannot be auto-adjudicated. 
  • Expanded split-billing processing for customers who administer Medicare health plans, so that multiple entities (such as member, employer groups, and CMS) can each be billed for specific percentages of an insurance premium. 
  • Support for the program in other languages.
  • Customization of screen views.
Seventy-nine U.S. health insurance companies, including 18 BlueCross BlueShield plans, use TriZetto's Facets system, and nearly half of all Americans receive health insurance from payers using the company's Facets or other software applications.

New versions of TriZetto's Facets and QNXTTM systems are introduced each year, Scavo said, to keep up with changing regulatory requirements, accommodate developments in plan design (such as CDHC), and help payers coordinate with providers, brokers, employers, and members to better manage the cost and quality of health care.
 
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