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Experience Automation

DIGITALLY ENABLED TECHNOLOGY AND EXPERIENCE

Simplify today’s complex dental plans with automated workflow and increase auto-adjudication rates.

AUTOMATED PRODUCT MAINTENANCE


Increase efficiency with dental-based claims processing and adjudication.

The Facets® Dental module provides functionality that simplifies the complexities of dental fee-for-service and managed care benefit plans. Facets Dental helps healthcare organizations manage dental claims more efficiently and expand automation to respond to new and emerging market requirements. It offers two incentive products to improve member behavior to reduce costs.

Ideal for dental claims processing, customer service and member administration, the Facets Dental module allows you to:

  • Process more claims with greater accuracy for both in-network and out-of-network providers
  • Optimize workflows associated with claims payment processes
  • Reduce manual processing for recurring scheduled services, such as orthodontia
  • Provide detailed explanations of member benefits and coverage
  • Identify member out-of-pocket expenses prior to service delivery

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.

Facets® Dental

Increase efficiency with dental-based claims processing and adjudication.

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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.

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