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Benefits administration has expanded to encompass a diverse array of initiatives. The TriZetto Premier Partnership Program was established to provide TPAs with integrated, affordable access to innovative products that compliment the QicLink core application and help manage the cost and quality of care.
The Premier Partners provide solutions that have been pre-integrated with the QicLink platform and optimal vendor pricing has been negotiated. TPAs can now deliver high-performance, high-impact services similar to those in place at larger organizations.
Benefit Informatics™ by Benefitfocus solution utilizes healthcare data to manage plan risk and create actionable reporting analytics. Available exclusively to QicLink core application users, this solution populates standard, ad hoc and in-depth reporting tools with QicLink data, allowing the dissemination of monthly reports via single sign-on access to a secure website. Flexible reporting options and the ability to dig deep into a wide array of details provide the insights required to make informed, cost-effective health and wellness decisions.GO TO PARTNER SITE
Cigna® offers access to The Cigna National Medical and Dental PPO Networks. Participation in this program provides access to over 850,000 providers, 6,200 hospitals and 121,000 dentists at more than 370,000 locations. This means expanded network coverage for employer groups, as well as discounts that drive increased plan savings. This robust and competitive healthcare professional/dental network offering is delivered via personalized administration services using the QicLink core administration system.GO TO PARTNER SITE
Teladoc™ provides affordable, 24/7 phone and video access to board-certified primary care doctors. Pre-integrated QicLink data feeds supply Teladoc physicians with claim and eligibility information for participating groups. This data feed is unique and provides the most comprehensive patient medical information to Teladoc physicians in support of patient needs.GO TO PARTNER SITE
TRPN is the nation’s largest proprietary supplemental wrap PPO network. Deep integration with QicLink and the ClaimsExchange electronic connectivity service provide a highly effective, out-of-network cost management solution. Administrators can quickly select and route out-of-network claims for rapid identification, discount pricing and resolution of claim payments—offering employer groups more competitive cost management strategies with increased savings potential.GO TO PARTNER SITE
Zelis® Payment Integrity
The Zelis Payment Integrity Claims Editing solution uses leading-edge technology combined with expert insight to analyze claims and identify billing and coding accuracy by cross-referencing claims history and claims data. Their fast, accurate results are fully aligned with industry-recognized guidelines, ever-changing compliance requirements and a client’s unique needs. All of this is completed before any payments are made. The Zelis Payment Integrity Claims Editing solution is tightly integrated with QicLink via the ClaimsExchange Post-Adjudication Processing functionality.GO TO PARTNER SITE
Zelis™ Payments is integrated with QicLink to streamline the transfer of healthcare payments and data. Operational expenses are reduced because Zelis Payments manages the provider recruitment and enrollment process, while print costs and postage expenses are decreased through virtual credit card/electronic payments. Administrators receive detailed reports of electronic payments issued, and have 24/7 access to information via a secure payer web portal.GO TO PARTNER SITE
With the industry’s #1 multi-purse benefit debit card platform tightly integrated with the QicLink Enterprise™ Platform, Alegeus enables integrated consumer benefit account management of HSA, FSA, HRA and dependent care accounts. By giving them access to their flexible benefit account balances using a convenient debit card, Alegeus empowers members to better manage their healthcare expenses and to take a more active role in their health and wealth situation.GO TO PARTNER SITE
Change Healthcare is an integrated partner product with the QicLink™ enterprise core administration system, providing advanced payment processing technology with a wide range of printed and electronic payment options available through a single platform. These solutions can reduce administrative costs by maximizing adoption of electronic payments, and reduce print and mail costs for print-related payments by consolidating printing and correspondence. Participation in the Change Healthcare HealthPayers USA Postage cooperative—the nation’s first and largest healthcare postage co-op—offers significant postage and operational savings. Full-color printed or electronic EOBs, omni-channel communications, and monthly or episodic consolidation options help to reduce administrative costs and differentiate your consumer experience. Preference-based intelligent payment analytics can determine the most cost-effective payment distribution channel.GO TO PARTNER SITE
RedCard offers QicLink integrated healthcare claims communication and ID card fulfillment services. This integration allows QicLink clients to quickly and easily produce claims payment, Explanation Of Benefits (EOB) and pended claims communications data output for transmission to RedCard for payment and communications fulfillment. Customer service representatives, members and providers are able to view images of checks/EOBs via the web browser-based QicLink Customer Service and QicLink Benefits Exchange solutions.GO TO PARTNER SITE
Optimize operations and extend application functionality
Comprehensive functionality to support specialty lines of business
Effective tools that support today’s complex provider network and care management initiatives
Manage the cost and quality of care with access to affordable, QicLink-integrated solutions
Connect to a vast network of PPOs for electronic claims routing and re-pricing
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.