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TriZetto® EngageProvider® enables providers to help patients make better care decisions while streamlining administrative processes through access to real-time data in TriZetto® core administrative systems.
Easy access to accurate, up-to-date data helps providers make optimal care decisions, identify care gaps and improve patient experiences. Through EngageProvider, providers have access to patient eligibility, benefits, claims and referral data in real time.
EngageProvider is preintegrated with TriZetto core administration systems and connects to other critical applications and third-party systems via its powerful built-in data management layer. Data from disparate systems must be normalized and prepared for use by other systems. EngageProvider data management achieves this, delivering smooth, real-time bidirectional data flows among systems while eliminating time-consuming custom batch integrations, expensive software upgrades and integration maintenance.
Enables physicians and other care providers to access detailed information on their patients, efficiently log claims and make templates for common claims, as well as easily create referrals and authorizations.
Members may interact anytime, anywhere and receive a detailed view of their coverage information with compelling metrics, timely notifications and relevant healthcare content.