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When BlueCard members receive healthcare services while traveling or residing in another Blues plan's service area, Inter-plan Teleprocessing Services (ITS) provide a nationwide electronic network that independent Blue Cross Blue Shield plans can employ to communicate and share data with one another. Getting a core administrative system to seamlessly share data via ITS can be difficult. Many Blues plans build their own solutions but face the challenge of maintaining them.
With TriZetto's ITS sub-system for Facets, your Blues plan can communicate seamlessly with ITS. Designed to meet the special business needs of BCBS organizations, the Facets ITS sub-system enables you to easily send, receive and manage data regarding claims, provider, membership, and fee-for-service/capitation billing. The solution eliminates costly manual processes, helping you manage both Host and Home claims faster, easier and more economically. And as ITS evolves, TriZetto continuously updates the software, freeing your IT staff to focus on other priorities.
Benefits:
- Provides a proven, cost-effective alternative to developing and maintaining your own ITS system
- Automates claims processing, so you don't have to rely on outside servicing companies or extensive manual labor
- Meets required ITS performance levels and helps you avoid financial penalties
- Maximizes your staff's productivity
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Information
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For more detailed information, please call 1-800-569-1222 or click on the link below.
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