NEWPORT BEACH, Calif. - January 25, 2010 - The TriZetto Group, Inc. today announced the general availability of its Facets™ 4.7 system release, the newest version of the healthcare IT firm's enterprise-wide core administrative application used by 70 payers, processing benefits for 68 million members. The Facets 4.7 system will help healthcare payers meet ANSI x12 version 5010 transaction compliance requirements, support ICD-10 codes, and integrate more than 80 new enhancements. In addition, the TriZetto Advantage 10 Compliance Plus™ upgrade service will give payers the ability to upgrade more easily to Version 4.7 and leverage the ICD-10 data for strategic initiatives.

To support 5010 communications rules and ICD-10 code sets, payers are required to make complex changes to the way they receive, store, code and process data. Health plans must begin testing their 5010 interface by January 2011 and be compliant by January 2012. The Facets 4.7 release, coupled with the TriZetto Advantage 10 Compliance Plus upgrade service, enables payers to meet those requirements and leverage ICD-10 codes to drive more complex wellness programs as well as new value-based benefit design.

"TriZetto's Facets 4.7 application not only will help payers seize opportunities presented by the significant business and IT infrastructure changes required by 5010 and ICD-10 migrations, it will take them beyond compliance and set them up for the future" said Kathy Wiley, vice president of product management at TriZetto. "With integration to TriZetto's new Value-Based Benefits solution, as well as numerous enhancements to speed processes and improve customer engagement, Version 4.7 will help our customers create new programs and better serve their membership. The upgrade will provide new options to payers as they prepare for and meet the changing demands on the healthcare industry."

The Facets 4.7 upgrade will integrate with TriZetto's Value-Based Benefit Solution, available separately in 2010. The solution, announced in November 2009, will automate the tasks of tailoring benefits and claims adjudication to the specific clinical conditions of high-risk members and rewarding participation in health, wellness and condition-management programs. The application will trigger value-based claims adjudication by the Facets 4.7 system and power Web applications that can be used by payers to administer comprehensive value-based benefits programs or by members to view incentive benefit options and activity.

Complementary to the software upgrade, the TriZetto Advantage 10 Compliance Plus upgrade service, which includes the development of an ICD-10 strategic roadmap, helps customers capitalize on the new software features and meet 5010 and ICD-10 compliance dates. Additionally, the service can help payers use the granularity of ICD-10 code data to drive new care management programs, define more profitable provider contracts and increase the information shared between members, providers and payers.

"The Facets 4.7 application includes many critical enhancements that will make health plans more competitive, but software is only half the story," said Mike Jenner, executive vice president of TriZetto services. "TriZetto's unique upgrade service can help our payer customers implement the new software quickly and with less pain points, while also developing a plan to optimize the enhanced functionality. TriZetto also has a certified team of professionals available to implement that plan. TriZetto Advantage 10 Compliance Plus will let payers use the detail of the ICD-10 code data to build more effective programs including rewards and incentives, wellness, and disease management."

The Facets upgrade provides the ability to support both ICD-9 and ICD-10 codes. It also enhances claims processing, clinical editing, account management, utilization management, real-time services, customer services accessibility, overall connectivity, and operational speed. It improves administrative efficiency through better and faster communications, speeds Medicare processing (including varying reimbursement based on provider location) and includes an "upgrade framework" that will allow customers to upgrade to this and all future Facets upgrades faster and more efficiently.

About ANSI x12 Version 5010 Transactions and ICD-10 Code Sets

A prerequisite for ICD-10, 5010 transactions define the rules for electronic data transmission of healthcare data such as claims, while the ICD-10 code set provides a much more extensive way to track diagnoses and procedures than its ICD-9 predecessor. Payers must demonstrate their ability to receive HIPAA 5010 transaction in a test environment by January 2011, to move those 5010 transactions into production by January 2012, and able to accept ICD-10 codes by October, 2013.

For more information, please call 1-800-569-1222 or visit http://www.trizetto.com/ICD-10.

About TriZetto

Founded in 1997, TriZetto is the leading privately held healthcare information technology company to the healthcare payer industry. With its technology touching half of the U.S. insured population, TriZetto is Powering Integrated Healthcare Management®, the systematic application of processes and shared information to optimize the coordination of benefits and care for the healthcare consumer. The company's offerings include enterprise and component software, hosting, outsourcing services and consulting that help payers implement and optimize their operations and minimize the risk of bringing to market new products that drive competitive differentiation.

Media Contacts:

Rachel Tanner Lew
The TriZetto Group
303-495-7022
rachel.lew@trizetto.com

Melissa Bruno
Schwartz Communications
781-684-0770
trizetto@schwartz-pr.com