Coalition America Inc. (CAI), a provider in medical claims savings, has teamed with The TriZetto Group Inc. to offer a 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 to CAI for repricing. The bills are then reportedly quickly returned electronically to the client for auto-adjudication.
Clients can choose from a pre-adjudication option, which is available today, or a post-adjudication option, which will be available mid-summer. As a special promotion, the companies are waiving
implementation and transaction fees for new clients that contract for the ClaimsExchange and CAI service by May 31, 2005.
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