The TriZetto Group, Inc., (NASDAQ: TZIX) today announced an alliance with Viant Health Payment Solutions (formerly Concentra Network Services) to offer an integrated, out-of-network cost management solution that can help benefit administrator clients more effectively compete with larger health networks. TriZetto clients using the QicLink? benefits administration system in conjunction with the ClaimsExchange? electronic connectivity service will be able to quickly and easily identify and route out-of-network claims to Viant for rapid identification, resolution and pricing of claims payment discounts ? tapping into Viant's extensive, nationally-based provider network coverage for greater frequency and depth of discounts as compared to traditional ?wrap' networks.

The combined TriZetto / Viant solution also offers:

  • One of the largest sets of owned contracts available for out-of-network pricing, with a business model designed to continue to expand the number of owned contracts
  • A claims services ?funnel? that will seek an applied discount for every claim
  • Data exchange to create disruption reports for quoting new and renewing cases

QicLink clients who subscribe to the out-of-network coverage offered by Viant under TriZetto's exclusive Premier Partnership Programsm can expect claim discounts ranging from 20% to 32% depending on bill type and size ? and favorable fees representing a potentially significant reduction in overall plan costs.

?TriZetto's new Premier Partnership Program utilizes QicLink, the industry leading claims administration platform, with its largest single source of self-funded employer membership to leverage and integrate the products and services of a select set of premier vendor partners,? stated Joe Manheim, senior vice president of Benefits Administration for TriZetto. ?This integration delivers a comprehensive solution set designed to enable TPAs to efficiently manage the cost and quality of care, improve operating efficiencies and provide greater value to their constituents.?

?We are very pleased to have been able to add Viant to our growing list of Preferred Partners,? adds Manheim. ?By offering our clients integrated access to their services and extensive network coverage, we provide them with a more competitive, economic advantage in the benefits marketplace.?

Clients will benefit from online, single source connectivity to Viant's out-of-network coverage and the company's proven effectiveness in obtaining deep, negotiated discounts. According to Kurt Anderson, executive vice president of Viant, ?The partnership between TriZetto and Viant gives benefits administrators access to one of the industry's largest non-network, cost management organizations. We are very pleased to have been selected as the Premier Partner for managing out-of-network claims exposure. We believe that our solutions are market leading and will deliver economic advantages to TriZetto customers.?

About Viant

Viant (formerly Concentra Network Services, includes Beech Street Corporation, ppoNEXT, Health Network Systems and Concentra Preferred Systems) provides healthcare payment solutions through primary and supplemental networks, integrated network and contract management, specialized cost containment strategies and post payment recovery services to the U.S. health insurance industry in both the public and private sectors. Viant's comprehensive and effective cost management strategies focus on timely, accurate and fair payment for providers, payers and patients.

About TriZetto

With its technology touching nearly half of the U.S. insured population, TriZetto is distinctly focused on accelerating the ability of healthcare payers 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 payers 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 payer-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 and can be reached at 1-800-569-1222 or at www.trizetto.com.

The TriZetto Group, Inc.
Investors:
Brad Samson, 949-719-2220
brad.samson@trizetto.com
or
Media:
Schwartz Communications
Melissa Bruno, 781-684-0770
trizetto@schwartz-pr.com