Please visit the COVID-19 response page for resources and advice on managing through the crisis today and beyond.
Healthcare consumers expect shopping for a health plan to be easy, intuitive and intelligent, with personalized guidance and real-time quotes and enrollment. TriZetto® TranZform® EngageConsumer®, cloud-based and powered by the TranZform® Platform, enables payer organizations to deliver a modern, engaging shopping experience built on real-time access to data in their core administrative systems.
TranZform EngageConsumer gives individuals a simple yet feature-rich shopping experience. Prospective members may view side-by-side plan comparisons for medical, dental and vision products, access automatically integrated health information, such as claims history for re-enrollment, and review accurate real-time quotes. After selecting a plan, a consumer may easily enroll, make a digital binder payment and configure ongoing payment preferences.
TranZform EngageConsumer is pre-integrated with TriZetto core administration systems and easily connects to other core systems via Application Programming Interfaces (APIs) built into our underlying data orchestration layer, the TranZform Platform. The API-rich TranZform Platform eliminates custom batch integrations, expensive software upgrades and integration maintenance while powering smooth, real-time bidirectional data flows.
An API-rich platform that delivers data from disparate systems to the portals, systems of engagement and other critical systems and applications in real time.
Predictive analytics that identifies members and patients across the spectrum of risk from high to low cost and utilization and supports innovative digital care plans for chronic and wellness offerings.
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.
A personalized and guided shopping experience for selecting health insurance coverage.
Enables brokers to manage multiple clients simultaneously, keeping tabs on coverage, billing and commissions payments all in one place.
Empowers groups with real-time paperless health insurance enrollments for their employees. Employers can easily get quotes, add members, adjust enrollment periods and manage employee coverage.