Clear Choice Health Plans Moves BPO Services for Claims to The TriZetto Group

Clear Choice Health Plans, Inc. announced that the company and Adaptis, Inc., its business process outsourcing (BPO) vendor, have mutually agreed to terminate their business relationship and that the Company has entered into a five-year contract for BPO services with The TriZetto Group, Inc., an information technology and services company focused on the health care industry.

The agreement calls for TriZetto to provide claims administration, enrollment administration, billing, mailroom and business rules configuration (BRC) services. TriZetto will manage and host the underlying QNXT enterprise administration system and related software from its data centers. The transition is expected to be complete in the fourth quarter of 2009.

"This agreement will enable Clear Choice Health Plans to achieve improved customer service levels through increased accuracy, efficiencies, reduced overhead costs, and improved functions such as claims payment, enrollment, and insurance premium billing," stated Patricia Gibford, President and CEO of Clear Choice Health Plans. "Since our previous outsourced services were delivered on TriZetto's enterprise administration platform, we anticipate being able to move our existing data and claims history over to TriZetto's business process services center without customer disruption. This new agreement should deliver savings in operating expenses in both the short and long term."

Clear Choice Health Plans offers health plans to meet the needs of employers, providers, and consumers.