Coalition America Renews Relationship with TriZetto to Offer Streamlined Claims Repricing and Adjudication Solution for Benefit Administrators
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ATLANTA, Sept. 19 / -- Coalition America, Inc. (CAI), the leader in medical claims savings, has teamed with The TriZetto Group, Inc. to offer a state-of-the-art repricing and adjudication solution for health plans and benefit administrators. TriZetto has made enhancements to its ClaimsExchange solution which allows clients to electronically transmit in- network and out-of-network medical bills for repricing. The bills are then quickly returned electronically to the client for auto-adjudication. Clients can choose from a pre-adjudication option or a post-adjudication option, which captures claims after they have been adjudicated and before the checks have been cut.
"We have had a long and positive relationship with TriZetto. Many of our existing clients are already on the QicLink platform, and could see significant and immediate savings by moving to an electronic connection with CAI through ClaimsExchange," said Scott Smith, president, Coalition America, Inc.
About TriZetto
With its technology touching nearly half of the U.S. insured population, TriZetto is distinctly focused on accelerating the ability of healthcare payors to lead the industry's transformation to consumer-retail healthcare. The company provides premier information technology solutions that enhance its customers' revenue growth, increase their administrative efficiency and improve the cost and quality of care for their members. Healthcare payors include national and regional health insurance plans, and benefits administrators that provide transaction services to self-insured employer groups. The company's broad array of payor-focused information technology offerings include enterprise and component software, hosting and business process outsourcing services, and consulting. TriZetto's Benefits Administration group is located in Naperville, Illinois.
About CAI
Coalition America, Inc. (CAI) is a market leader providing a comprehensive solution to managing healthcare costs. CAI has developed a seamless process for integrating Carrier Level Cost Containment including fraud detection services, claim editing, Carrier PPO access, chronic disease and utilization management services, and out-of-network/non-participating provider cost control services. This integrated approach to cost containment has a greater impact on the overall management of benefits costs and will help to control the annual rate of increase in healthcare spending. The Atlanta-based healthcare savings company directly services over 250 clients representing more than 12,000 businesses nationwide. CAI has saved its clients over $1 billion since inception.
For more information about Coalition America please visit www.coalitionamerica.com or contact Libby Roper, director of marketing and public relations at 404-459-7201, ext. 5265 or libbyroper@coalitionamerica.com.
Source: Coalition America, Inc.
CONTACT: Libby Roper, director of marketing and public relations of Coalition America, Inc., +1-404-459-7201 ext. 5265, libbyroper@coalitionamerica.com
