Please visit the COVID-19 response page for resources and advice on managing through the crisis today and beyond.
Many day-to-day benefits administration functions can be time-consuming and employee-intensive. Processes like enrollment, billing and claims administration need to be performed as efficiently as possible to maintain profitability and ensure client satisfaction. In addition, there may be times when you need to supplement existing resources due to rapid business growth, busy enrollment periods or staffing shortages.
TriZetto's Benefits Administration Services offer an efficient and cost-effective means of supplementing your existing business operations or addressing an immediate need situation. We have the software, technology, expertise and proven methodologies to help you streamline inefficient business functions, keep your operation running smoothly and deliver enhanced service to employers, providers and plan members.
Our TriZetto Healthcare Products teams have extensive knowledge and experience in both healthcare IT and benefits administration, and offer the following services in support of your strategic business and operational needs.
Focus on client-facing core competencies, while your IT infrastructure and application management functions are expertly maintained. Gain guaranteed performance; an optimized infrastructure; and hosting and management expertise in support of your QicLink™ core administration system and other critical applications—all for a cost-predictable monthly fee.
Improve operational effectiveness and respond to changing benefits administration requirements with a full complement of technology and administrative service solutions. Select as many or as few services as are right for your organization. Then, choose whether you would like our professionals to fully manage and operate the service or provide connectivity to your team—all within a highly secure, HIPAA-compliant environment.
Optimize the value of your TriZetto QicLink™ core administration solutions. Consultants with both product and healthcare industry experience can help you realize quantifiable gains in productivity, profitability and client satisfaction. Optimize the return on your IT investment and leverage your system's capabilities with one or more of the following:
Increases payer efficiency, improve productivity, reduce costs and position your business for growth.
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.
Automates pricing scenarios to provide the best value to payers, providers and patients.
Enables payer/provider collaboration to reduce costs and drive overall quality improvement.
Members may interact anytime, anywhere and receive a detailed view of their coverage information with compelling metrics, timely notifications and relevant healthcare content.
This integrated software and services healthcare BPaaS solution includes process optimization, digitization and large-scale efficiencies.
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.
Manages EDI trading partners with one cost-effective, cloud-enabled technology service.
Connects care managers to members and providers while reducing costs, personalizing interventions and improving care quality.
Automate and simplify operational tasks associated with our core healthcare technology solutions, Facets and QNXT.
Extend the functionality of your core system by providing critical capabilities from enrollment through risk adjustment, to efficiently administer government solutions.
Allows plans to design and administer incentive programs to encourage members to do what it takes to care of themselves.