El Paso First Health Plans Uses TriZetto for Compliance

Faced with a month-long deadline, nonprofit El Paso First Health Plans (El Paso, Texas) used Greenwood Village, Colo.-based TriZetto's Advantage 10 Compliance Plus service to meet American National Standards Institute x12 5010 and ICD-10 compliance.

"When we found out we had to submit a 5010 compliance plan to the state at the same time we would be relocating to a new facility, we wanted some help," Sharon Perkins, director of information technology at El Paso First, says in a statement.

TriZetto's platform identifies the impact to a payer’s business and technical operations; determines how the business operations will leverage new data; defines detailed project plans including data conversion, testing and cut-over strategies; and integrates the new transactions and code sets into their core administration systems, according to the company.

El Paso used a TriZetto assessment for the final plan that was submitted to the state of Texas. In addition, El Paso took the roadmap they created with TriZetto and turned it into the official operating plan that will drive the entire organization’s change to 5010 and ICD-10.

"TriZetto’s Advantage Services team divided into three groups,” Perkins explains in the statement. "The experience and background of each person brought an expertise that allowed us to move quickly."

Nathan Golia is senior editor of Insurance & Technology. He joined the publication in 2010 as associate editor and covers all aspects of the nexus between insurance and information technology, including mobility, distribution, core systems, customer interaction, and risk ... View Full Bio