Blue Cross and Blue Shield plans communicate and share data with one another via Inter-plan Teleprocessing Services (ITS). This nationwide electronic network facilitates coverage for BlueCard® members who receive healthcare services while traveling or residing in another affiliate plan’s service area. But getting a core administrative system to seamlessly share data via ITS can be a challenge.With TriZetto's ITS sub-system for the Facets™ application, your Blue Cross Blue Shield plan can communicate easily with ITS. Designed to meet the special business needs of Blue Cross and Blue Shield organizations, the Facets ITS sub-system enables you to send, receive and manage data regarding claims, providers, membership and fee-for-service/capitation billing. The solution reduces costly manual processes, helping you manage both “Host” and “Home” claims faster, more easily and more economically. And as ITS evolves, TriZetto continuously updates the software, freeing your IT staff to focus on other business priorities.
BCBS of La. successfully replaces legacy system with TriZetto Facets core administrative system. Read the impressive results.
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TriZetto provides healthcare organizations with comprehensive IT solutions for core administration, healthcare analytics, care management, value-based insurance design, healthcare IT consulting and more. TriZetto’s leading claims processing system helps reduce costs and improve processing speed, while TriZetto’s network management application provides sophisticated tools for contract modeling, claims pricing and payment bundling. TriZetto’s care management solutions integrate clinical analytics into physician workflow more effectively. And TriZetto’s healthcare IT outsourcing services enable organizations to reduce costs and focus on critical business objectives.