carrot carrot carrot Change Centers x cognizanti collaborators create-folder Data Science Decisive Infrastructure download download edit Email exit Facebook files folders future-of-work global sourcing industry info infographic linkedin location Mass Empowerment Mobile First our-latest-thinking pdf question-mark icon_rss save-article search-article search-folders settings icon_share smart-search Smart Sourcing icon_star Twitter Value Webs Virtual Capital workplace Artboard 1

Please visit the COVID-19 response page for resources and advice on managing through the crisis today and beyond.

Automates providers’ authorization and utilization management processes

Automating provider steps in authorization and utilization management (UM) processes reduces provider abrasion and gets members the services they need more quickly. Having an authorization automation solution in place can help lower costs while improving quality of care. 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 administration systems’ care management functionality enables a fast and automated exchange of information even further.

CareAdvance Provider enables the following key capabilities for health plans and their providers:

  • Automatic, real-time authorization request and response 
  • Replacement of time-consuming, inefficient phone-based and fax-based requests 
  • More effective management of inpatient and outpatient utilization costs
  • Flexible configuration to automatically accommodate specific provider needs
  • Add, view and extend inpatient and outpatient authorization requests for services

RELATED THINKING

RELATED SERVICES

Business Process Services

Services that offer meaningful business outcomes.

LEARN MORE
Business Consulting

Unparalleled healthcare business consulting expertise.

LEARN MORE
Next-Gen Technologies

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

LEARN MORE
Infrastructure Services

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

LEARN MORE
IT Professional Services

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

LEARN MORE
Services/Benefits Administration

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

LEARN MORE

CONTACT US

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.

Please Enter Valid First Name
Please Enter a Valid Email Address
Please Enter Valid Company Name
Please Enter Valid Contact Number
Please Input the Region
Please Input the Inquiry Type
Please Input the SubInquiry Type
Please Enter A Message

Thank you for your interest in Cognizant.

We’ll be in touch soon.