Non-profit private mutual company Blue Cross and Blue Shield of Louisiana (BCBSLA) wanted to enhance the benefit management processes of its TriZetto® Facets® core administration system. It wanted to expand user self-service capabilities to eliminate unnecessary expenses, reduce product errors and eliminate message inconsistencies to enable a better member/provider communication across internal and external resources. BCBSLA partnered with Cognizant to meet these objectives, so its team could provide input and feedback for the new benefit management application being developed for its existing system.
Based on input from BCBSLA, our healthcare product experts developed a new application—Facets® Benefit 360—that holds all the configuration components used for different products in one place for quick and easy team member access. The application incorporates benefit management products and benefit catalogs, enabling user-defined product tags and standard terminology descriptions. This functionality eliminates BCBSLA’s reliance on decoding documents for product identifications, descriptions and configuration prefixes, as well as allows configuration verification without engaging costly quality assurance testing resources.
The application’s service-level grouping functionality helps BCBSLA logically group embedded Facets services and assign descriptions that align with its external systems and outputs. This enhances new product development while enabling queries to validate cost-share attributes from the company’s external data repository. This feature also saves plan time and costly rework by reducing the risk of missing configuration points.
The Facets Benefit 360 application improves performance with self-service functionality that simplifies product inventory research processes. The application’s advanced indexing technology saves time and expense associated with benefit build, identification and maintenance processes.
faster speed-to-market with better informed product development decisions
expense associated with potential impact of incorrect cost-share rules
errors within benefit summary data used on BCBSLA portals and 270/271 inquiries
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