Coalition America, Inc.

Coalition America, Inc. (CAI) a leader in healthcare cost-containment and preferred provider organization (PPO) network management services, today announced a new strategic affiliation with The TriZetto® Group, Inc. (Nasdaq:TZIX), that links CAI products and services with TriZetto’s ClaimsExchange™ Service. With Trizetto’s ClaimsExchange Service, its QicLink users may can connect electronically to Coalition America and significantly reduce the costs of administering and managing multiple primary PPO networks and claim-repricing vendors.

"CAI offers extensive network coverage and negotiation services which can typically deliver enhanced coverage and savings compared to other organizations," said Tony Bellomo, executive vice president of TriZetto’s HealtheWare™ software unit.

Third party administrators (TPAs) and other payors with multiple clients often spend excessive time and resources meeting various technological and administrative requirements needed to transmit and reprice healthcare claims. Some clients may require paper claims transmitted via hard copy fax; others insist on Internet access or electronic data interchange (EDI) or a combination of these methods.

TriZetto clients however can rely on ClaimsExchange to coordinate this process. Through this agreement with CAI, TriZetto provides access to more than 200 PPO networks nationwide, including select networks that reduce the cost of out-of-network claims. CAI’s services also include the ability to negotiate any size claims whereas many companies institute minimum thresholds that limit the client’s potential for savings.

"By partnering with TriZetto, CAI can offer its extensive primary networks and out of network claim repricing services to TriZetto clients, without having to connect electronically to clients individually," said Sean Smith, chief executive officer of Coalition America. "This system delivers more favorable in-network utilization and savings, reduced out-of-network claims costs, more streamlined internal administration, and enhanced services to both TriZetto and CAI clients."

About TriZetto

The TriZetto® Group, Inc., offers a broad portfolio of healthcare IT products and services that can be delivered individually or combined to create a comprehensive solution. The company provides proprietary and third-party software on a licensed or hosted basis, e-business applications, consulting services, and business transaction services such as claims, billing and enrollment processing. Focused exclusively on healthcare, TriZetto serves more than 500 payers, providers and benefits administrators. Its payer customers serve more than 90 million health plan members, or approximately 40 percent of the insured population of the United States. Headquartered in Newport Beach, Calif., TriZetto can be reached at 949.719.2200, www.trizetto.com.

About Coalition America

Coalition America, Inc. (CAI) is a leader in healthcare cost-containment and preferred provider organization (PPO) network management services emphasizing transactional excellence. The Atlanta-based healthcare technology company offers one source for PPO network access and administration, while assisting companies in controlling their medical healthcare expenses.

The range of services offered by CAI includes cost containment, primary PPO network integration and management, electronic data interchange (EDI), Internet repricing and data-entry options and out-of-network bill negotiations through supplemental network relationships and negotiations on all claims. For more information on Coalition America, please visit www.coalitionamerica.com.

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