TriZetto Facets Implementation Remediation Case Study

This case study outlines the remediation efforts undertaken by Mediant Health Resources for Blue Cross and Blue Shield of North Carolina (Blue Cross NC) following a significant system failure during their TriZetto® Facets® implementation. The document details the challenges faced by Blue Cross NC, including incorrect customer enrollments and billing issues that arose from a third-party vendor error. Mediant was selected as a partner to provide expertise in system redesign, project management, and staff training. The case study describes the specific solutions implemented by Mediant, including daily operations support, system triage, and knowledge transfer to Blue Cross NC's staff. It also highlights the positive outcomes of Mediant's involvement, such as a reduction in new daily production issues and timely completion of project milestones. The collaboration aimed to enhance the overall understanding of the TriZetto® Facets® system among Blue Cross NC employees and improve the member experience.