Available for immediate delivery, CaaS is a hosted solution powered by TriZetto's QNXT core administration platform that combines their market leading software technology with Patni's world-class IT and BPO services. The offering supports the complete claims life cycle from intake, through adjudication, to customer service including mailroom and fulfillment services, claims processing, enrollment and eligibility maintenance, member services, premium billing, reconciliation, provider maintenance and post payment audits. Any of these services can be selected on an ala carte basis enabling healthcare payers to provide administrative and care management functions at an affordable cost without compromising on quality.

The CaaS pricing includes all costs of transition from the existing system and is based on the number of members serviced on a monthly basis. The highly flexible, subscription-based structure allows a client company to support continuing growth while taking advantage of attractive price breakpoints.

According to a recent Gartner Report by Maureen O'Neil, of Feb 26th, 2009, "Healthcare Insurance BPO Market Ready to Take Off," "CIOs of U.S. healthcare insurers are more frequently considering BPO as a strategic option... This increased interest is spurred by the need for cost savings, a desire to focus on core competencies and the diminishing pool of legacy trained talent¦As healthcare insurers look for cost optimization solutions, as well as strategies to grow and transform their businesses, the BPO market in 2009 is poised to offer both. "

The current economic, regulatory and political environment is mandating strict adherence to claims processing times on the part of payers. Out-of-date systems, insufficient knowledge in current technology and limited budgets, put many healthcare providers at risk for being non-compliant. The result can be government penalties that may include a revocation of their license to transact this business.

Ganesh Iyer, Senior Vice-President for Patni's Insurance Practice said, "Automating manual processes will create more transparency providing the visibility needed to meet regulatory requirements and manage the performance of the business.