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Automates and integrates authorization and utilization management processes.

Automating and integrating authorization and utilization management (UM) processes can improve efficiency, lower costs and get members the services they need more quickly. CareAdvance Provider®, working in tandem with Clinical CareAdvance®, creates a pre-integrated connection between health plans and physician offices to automate the authorization process. Pre-integration with Clinical CareAdvance makes provider and member data available in real-time, and Clinical CareAdvance’s integration with core care management systems extends the functionality even further, enabling a fast and automated exchange of information.

CareAdvance Provider allows health plans and providers to:

  • Streamline and accelerate authorization and UM workflows 
  • Create and manage authorization requests during the authorization process, saving time and money
  • More effectively manage inpatient and outpatient utilization costs
  • Configure the application to automatically request additional information unique to a provider’s needs
  • Add, view and extend inpatient and outpatient authorization requests for services




Business Process Services

Services that offer meaningful, business outcomes.

Business Consulting

Unparalleled healthcare business consulting expertise.

Next-Gen Technologies

Leverage the power of next-generation technologies to build a stronger, agile business.

Infrastructure Services

Services to manage your infrastructure so you can manage your business.

IT Professional Services

Unrivaled resources and healthcare expertise to meet your IT business needs.

Services/Benefits Administration

Software, technology, expertise and proven methodologies to help you manage your business more effectively.



At Cognizant, we are here to provide you with more information about our TriZetto Healthcare Products software and service solutions and answer any questions you may have.

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