HIPAA compliance mapping powered with IT

GREENWOOD VILLAGE, US: The TriZetto Group, Inc., announced a partnership with Edifecs, Inc. to embed the Edifecs5010 Solution into the TriZetto Advantage 10 Compliance PlusTM 5010 service to streamline the mapping of HIPAA 4010 EDI transactions to the new ANSI x12 5010 standard, which has a compliance date of January 1, 2012.

"TriZetto Advantage 10 Compliance Plus 5010 service provides a single path to help payers meet 5010 compliance with their core administration systems. By integrating the Edifecs5010 Solution into our 5010 compliance service, our clients can do their 5010 migration once, with greater confidence that claims will be automatically adjudicated correctly,” said Greg Larson, TriZetto’s associate vice president of services product management.

“Many health plans have been misled to believe that they do not have the time to upgrade their core administration systems to accept 5010 codes directly. But, with the help of TriZetto’s Advantage 10 Compliance Plus 5010 service, payers can do both -- upgrade their enterprise administration systems and become fully 5010 compliant. The Edifecs5010 Solution provides additional horsepower to the final stage of this 5010 service. Payers can now get ahead of the 5010 compliance curve, and focus more attention on the bigger effort of ICD-10 migration and healthcare reform.”

With Level 1 compliance testing beginning in January 2011, health plans must prepare their systems now for new 5010 requirements. TriZetto’s Advantage 10 Compliance Plus 5010 service, strengthened with Edifecs’ industry-leading 4010A1-5010 translation solution, is optimized for TriZetto customers wherever they may be on their readiness path. The service also enables health plans to assess the business impact (not just technology impact) that 5010 transactions will have on their everyday operations.