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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.

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Care Management

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

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Health Tranzform™

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

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Provider Reimbursement Management

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

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Trading Partner Management

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

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Portal Technology

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

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Optimization Tools

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

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TriZetto® Elements™

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

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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

The Healthcare Vision Blog is a thought leadership forum that highlights our expertise and perspectives on healthcare strategy, government programs, operational excellence, population health management, digital transformation and other topics healthcare organizations are facing in a changing healthcare industry.

We invite you to read the blog, engage in the conversation around the topic and subscribe to be a member. When you subscribe, you will receive automatic notifications when there is a new blog post.

We look forward to your participation.  

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GET THE RECOGNITION YOU DESERVE

Healthcare Excellence Awards: Cognizant is pleased to honor clients using our technology solutions to build new best practices or discover new ways to address changing business models. Discover how the Healthcare Excellence Awards program can get your organization the recognition it deserves.

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May 20–23, 2018 Cognizant Healthcare Conference

The Healthcare Conference brings our clients and partners together to discuss strategies and solutions that will help address the challenges you are facing today.

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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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Thank you for your interest in Cognizant.

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