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Health plan members need accurate, timely information about their coverage, benefits, costs and provider options to make optimal decisions about their care. TriZetto® EngageMember® enables payer organizations to equip members with real-time access to data in TriZetto® core administration systems.
Through EngageMember’s intuitive interface, health plan members access coverage, claims, provider comparisons, out-of-pocket costs and benefits information. Accurate, up-to-date data enables members to make better-informed healthcare decisions that lower their cost of care. These rich, satisfying experiences can help improve member retention and reduce payer operating costs.
EngageMember is preintegrated with TriZetto core administration systems and can connect to other critical applications and third-party systems via its powerful data management layer. Data from disparate systems must be normalized and prepared for use by other systems. EngageMember data management accomplishes this, powering smooth, real-time bidirectional data flows while eliminating custom batch integrations, expensive software upgrades and integration maintenance. Members gain a holistic picture of their plan transactions while payers may reduce IT and operating costs.
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.
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.