IHM Power Awards 2012 Nomination Form

TriZetto is pleased to provide an opportunity for our valued customers to highlight the successful implementation and use of TriZetto solutions. Each year, we recognize one success story in each of two categories: innovation, and operational excellence. Organizations that submit nominations agree to participate in any one or all of the following promotional activities*:

• Use of their company name
• Press releases
• Photograph/videotaping of the awards ceremony
• Written and/or video case study
• Client references
• Promotion on TriZetto’s Website
• Promotion on TriZetto’s IHM Spotlight

*Appropriate release documents must be executed prior to the awards ceremony. To participate in the awards program, you must be authorized to grant permission on behalf of your company.

For complete details on the IHM Power Awards, please click here.

2. Please complete required fields below: *This question is required.

Your Full Name:
Title:
Email:
Organization:
Work Telephone:
Cell Telephone:

3. Rather than provide written information, I prefer to be contacted for my success-story nomination. The best method and time to contact me is:

4. What TriZetto solution(s) are you currently using? This might include software; business process outsourcing services; and/or consulting/hosting services.

5. Describe the business challenges that led you to implement TriZetto solutions (software and/or services).

6. Describe the solution you implemented and how it has helped your organization address the challenges you were facing and achieve other business objectives. Please share statistics if you have them available.

7. Did you use TriZetto's Services (consulting and/or hosting) to help implement or run the solution? Please discuss how this helped you achieve meet the challenges you were facing.

8. How did your organization measure the success of the TriZetto solution, and what specific results have been achieved?

9. If chosen for one of the IHM Power Awards, who from your organization is the appropriate contact to accept the award? Please include name, title and contact information.

10. My TriZetto contact is:

Copyright © 2012 The TriZetto Group, Inc. All rights reserved. TriZetto, the TriZetto Triangle logo and Powering Integrated Healthcare Management are registered trademarks of The TriZetto Group, Inc., or its subsidiaries and TriZetto IHM Power Awards is a trademark of The TriZetto Group, Inc. or its subsidiaries. Other company and product names may be trademarks of the respective companies with which they are associated. The mention of such companies and product names is with due recognition and without intent to misappropriate.

IHM Power Awards 2012 Nomination Form

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