Health plan members want accurate, timely information about their coverage, benefits, costs and provider options. TriZetto® TranZform® EngageMember®, cloud-based and powered by the TranZform® Platform, enables payer organizations to provide members leading-edge plan and benefit management tools built on real-time access to data in core administrative systems.
Through the TranZform EngageMember custom dashboard, health plan members access coverage, claims, provider comparisons, out-of-pocket costs, and benefits information in real-time through intuitive, digital tools. Accurate, up-to-the-minute data enables members to make better-informed healthcare decisions that lower their cost of care. These rich, satisfying experiences increase member retention while reducing payer operating costs.
TranZform EngageMember 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.