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Support New Products

EFFICIENTLY ADMINISTER DISABILITY PLANS

Expand plan offerings by adding long- and short-term disability benefits processing to existing Facets-based plan administration functionality.

 

INCREASE YOUR OFFERINGS WITH DISABILITY BENEFITS


Administer and reimburse long- and short-term disability benefits.

The process for administering disability claims is very different from that of medical claims. Not only can it be more costly and labor-intensive, but it requires different functions for managing payment. Instead of using a completely different claims processing system for disability claims, Facets Disability Module runs on the same Facets core administration platform used for other healthcare claims processing. This ensures that all processes are efficient, cost-effective and fully integrated.

 The Facets Disability Module:

  • Automatically generates short- and long-term disability payments at appropriate interval.
  • Stores disability product components.
  • Generates continuous payment (checks/EoBs) for a pre-determined period of time.
  • Implements elimination periods based on cause type.
  • Calculates and displays real-time benefits.
  • Provides views into processed claims and claims payments.
  • Applies overrides for the entire benefit period or for specific payments.
  • Integrates the details of the disability claim, including payments, for a single customer-service view.

FACETS MODULAR ADD-ONS

Facets® Workflow

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

Facets® Accumulator Synchronization

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

Facets® CDH Suite™

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

Facets for Blue Cross Blue Shield Plans

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

Facets® Open Access Solution

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

Facets® Disability Module

Administer and reimburse long- and short-term disability benefits

Facets® Assigned Risk Module

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

RELATED THINKING

Solution Summary
TriZetto® Facets® Disability Module

Leverage the Power of TriZetto Facets System for Your...

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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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