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TriZetto, Sanovia Join Forces to Offer First Integrated Platform That Helps Payers Control Pharmacy Costs
Date:1/12/2009

a from two disparate systems - the core administration application and the pharmacy benefit software - relying on a somewhat manual, paper-intensive process to route and review information and communicate with both patient and physician. This new, integrated platform from TriZetto and Sanovia will automate the process and improve consistency."

"We are very pleased to join together with TriZetto to provide the only solution in the market that will link an automated, paperless pharmaceutical prior-authorization system with a health plan's core medical claims system, offering real-time access to all of the information needed to make timely, accurate and consistently appropriate clinical decisions backed by best-practice clinical guidelines," said Robert Tremain, Sanovia's president and chief executive officer.

TriZetto's Facets and QNXT applications help health plans meet their business requirements across claims processing, claims re-pricing, capitation/risk fund accounting, premium billing, provider network management, group/membership administration, referral management, hospital and medical pre-authorization, case management, customer service and electronic data interchange. Available on a hosted or non-hosted basis, the two systems can be combined with TriZetto and third-party software to address the enterprise-wide needs of managed care organizations.

Sanovia's PA-Logic uses best-practice clinical guidelines to evaluate pharmaceutical requests, help ensure adherence to benefit designs and enable appropriate decisions when requests are made. The system manages and automates the pharmacy review process on an electronic platform, which reduces slow and error-prone paper-based methods, speeds routing of information and accelerates decisions to help prevent treatment delays. Plans can also allow their participating providers to access the system from their offices via the Internet, and submit requests electronically
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SOURCE Sanovia Corporation
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