Newport Beach, California – (The Hosting News) – April 3, 2008 – Enterprise and component software, hosting and business process outsourcing services firm, The TriZetto Group Inc., has been selected by the Triple-S Management Corporation.
According to the software licensing and professional services agreement, TriZetto’s QNXTTM core administrative enterprise system and associated implementation, training and other professional services, will support the San Juan based managed care health plan, serving approximately 1 million members.
The three-year, $35 million system replacement and modernization project will give Triple-S the flexibility and scale in its technology to expand into additional plan designs and markets and more efficiently serve its members, providers and employer customers. As an independent licensee of the Blue Cross Blue Shield Association, Triple-S is among more than 60 percent of Blues plans nationwide using TriZetto software.
Socorro Rivas, President of Triple-S noted, ”We selected TriZetto as our IT solutions partner because its systems utilize the most flexible and advanced technologies in the marketplace. With more than 45 years of experience in providing healthcare to the people of Puerto Rico, we have always looked for the most innovative ways to develop the highest-quality healthcare coverage at the most reasonable cost, and TriZetto has proven to be the best solution.”
Tim Hascall, Executive Vice President of professional services at TriZetto remarked, ”hroughout the competitive bidding process, we emphasized not just the superior flexibility and Web services architecture of our applications. We emphasized, and Triple-S appreciated, our commitment to follow through with system implementation, staff training and business process improvements to deliver an on-time, on-strategy solution integrated with their operational model.”
TriZetto’s QNXT system supports greater efficiency in payers’ claims processing, claims re-pricing, premium billing, membership administration, customer service and other core administrative operations. The company’s professional services team performs strategic planning, business process reengineering and implementation services to help improve payer organizations using TriZetto and third-party applications.
Triple-S Management Corporation is an independent licensee of the Blue Cross Blue Shield Association. It is the largest managed care company in Puerto Rico, serving approximately 1 million members across all regions. Triple-S offers a broad portfolio of managed care and related products in the commercial, Medicare and Reform (similar to Medicaid) markets. In addition to its managed care business, Triple-S provides life and property and casualty insurance in Puerto Rico.
TriZetto’s payer-focused information technology offerings include enterprise and component software, hosting and business process outsourcing services, and consulting. Headquartered in Newport Beach, Calif., TriZetto can be reached at 949-719-2200. The company’s systems are powering Integrated Healthcare Management, by facilitating health benefit administration, care management and constituent engagement. The company provides premier information technology solutions that enable payers and other constituents in the healthcare supply chain to improve the coordination of benefits and care for healthcare consumers. Healthcare payers include national and regional health insurance plans, and benefits administrators that provide transaction services to self-insured employer groups.
To learn more, please visit: www.trizetto.com.