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Near real-time accumulator synchronization between Facets and third-party vendors.

Accumulators are the method of precisely collecting and calculating total claim dollar values against plan deductibles and benefit limits. Managing claims accumulator data in a timely fashion can be both difficult and costly to a health plan. Accumulators that are shared between core medical and third party benefit partners such as pharmacy, mental health, dental and vision can be especially vulnerable to out-of-sync data. If not managed properly, it is easy for plans to overpay.

The Facets Accumulator Synchronization solution solves these problems. Built on advanced technology including a real-time service interface, Facets Accumulator Synchronization provides near real-time synchronization of accumulator data updates between Facets and third party ancillary benefit vendors.

This feature can:

  • Reduce the time required to handle accumulators
  • Improve the accuracy of accumulator data
  • Ensure that deductible and benefit limits are properly applied
  • Avert out-of-balance situations with latency between processing and updating
  • Help clients support the Affordable Care Act mandate around maximum OOP, and lower administrative costs
  • Improve data accuracy and allow for efficient data processing
  • Provide the scalability and flexibility to grow with your business

The Facets Accumulator Synchronization solution is pre-mapped to the Facets core administration platform, allowing rapid implementation and smooth integration.

FACETS MODULAR ADD-ONS

Facets Workflow™

Real-time delivery of claims and customer service items, reducing bottlenecks and automating work.

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Facets Accumulator Synchronization™

Near real-time accumulator synchronization between Facets and third-party vendors.

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Facets CDH Suite™

Supports the administration of flexible spending accounts, health reimbursement arrangements, and health savings accounts.

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Facets for Blue Cross Blue Shield Plans

Real-time ITS solutions for claims processing and member liability estimation for BCBS plans.

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Facets® Open Access Solution™

Data publishing and web services that extend and integrate with the Facets system in real-time with third-party applications.

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Facets™ Disability Module

Administer and reimburse long- and short-term disability benefits

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Facets™ Assigned Risk Module

Supports HMO products for capitated entities to share financial risk and claims, along with UM processing responsibilities.

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Solution Summary
TriZetto® Facets Accumulator Synchronization™

Reduce risks and improve efficiencies when managing claims...

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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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