Today, Clear Choice Health Plans, Inc. announced that the company is terminating its business relationship with Adaptis, Inc., its business process outsourcing vendor, following a mutual agreement to stop service. The company also announced that it has started a new five-year contract for BPO services with The TriZetto Group, Inc., an information technology and services company with expertise in the health care industry.
The TriZetto Group will provide claims administration, enrollment administration, billing, mailroom and business rules configuration services. TriZetto will also manage and host the underlying QNXTTM enterprise administration system and related software from its data centers. The transition is expected to be complete in the fourth quarter of 2009.
Patricia Gibford, President and CEO of Clear Choice, stated, â€œThis 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. Since our previous outsourced services were delivered on TriZettoâ€™s enterprise administration platform, we anticipate being able to move our existing data and claims history over to TriZettoâ€™s business process services center without customer disruption. This new agreement should deliver savings in operating expenses in both the short and long term.â€
Clear Choice Health Plans, Inc. offers affordable health plans to meet the needs of employers, providers, and consumers. The company provides health insurance, including Medicare Advantage plans, commercial plans, individual plans, and administrative services to individuals and businesses throughout the West. Clear Choice is dedicated to the development of community-based employee benefits programs, health insurance, and ancillary plans.