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Administer Specialty Lines Seamlessly

MANAGE DIVERSE SPECIALTY HEALTH PLAN DESIGNS

Support a combination of unique specialty health plan offerings with our flexible, integrated solutions.

INDUSTRY-LEADING INNOVATION FOR SPECIALTY PLANS


Whether you are a commercial plan that wants to expand your offerings or a true standalone plan administering a single specialty benefit, you can administer one or multiple lines of specialty business on a platform that conforms to your needs.

As specialty plans increase in popularity among individuals and employer groups and as payers expand their portfolios with new offerings, the demand is growing for solutions thatmanage multiple lines of specialty products seamlessly via a single, integrated platform.

These solutions must also be flexible enough to support diverse specialty plan designs. Because each line of business makes its own demands on claims processing, capitation/risk-fund accounting, premium billing, network management and more, customizable functionality is essential to accommodating the different plan nuances.

The Cognizant line of TriZetto Healthcare Products offers technology that combines flexibility with industry-leading innovation to support a wide array of specialty plans administered in combination with core and other specialty plans or on a standalone basis. These solutions can be delivered in the licensed, hosted, business services or combined format, whichever is best for your business model. Manage the following specialties:

  • Disability
  • Behavioral health
  • Dental
  • Vision
  • Consumer-directed

PRODUCTS

Core Administration

Increases payer efficiency, improve productivity, reduce costs and position your business for growth.

Cognizant Interoperability Solutions

Offers end-to-end solution that pairs modular SaaS products with industry-leading strategic consulting to connect disparate systems, standardize data and enable secure, authenticated access in real-time.

TriZetto® TranZform®

Enables shared decision making, communication and collaboration as a multi-channel, modularized solution.

Provider Network Management

Automates pricing scenarios to provide the best value to payers, providers and patients.

Quality Management

Enables payer/provider collaboration to reduce costs and drive overall quality improvement.

Trading Partner Management

Manages EDI trading partners with one cost-effective, cloud-enabled technology service.

Care Management

Connects care managers to members and providers while reducing costs, personalizing interventions and improving care quality.

Optimization Software Products

Automate and simplify operational tasks associated with our core healthcare technology solutions, Facets and QNXT.

TriZetto Elements®

Extend the functionality of your core system by providing critical capabilities from enrollment through risk adjustment, to efficiently administer government solutions.

Portal Technology

Automates transaction processing and information exchange between payer organizations and their external constituents.

RELATED SERVICES

Business Process Services

Services that offer meaningful, business outcomes.

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Business Consulting

Unparalleled healthcare business consulting expertise.

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Next-Gen Technologies

Leverage the power of next-generation technologies to build a stronger, agile business.

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Infrastructure Services

Services to manage your infrastructure so you can manage your business.

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IT Professional Services

Unrivaled resources and healthcare expertise to meet your IT business needs.

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Services/Benefits Administration

Software, technology, expertise and proven methodologies to help you manage your business more effectively.

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HEALTHCARE VISION BLOG

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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Thank you for your interest in Cognizant.

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