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Payer Cost Estimation and Transparency
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Be transparent

Support price transparency requirements and provide the personalized cost information members increasingly expect from their healthcare systems.
Whether your organization already uses TriZetto® engagement tools, requires a standalone tool, or must build pricing compliance into an existing experience, we have a cost estimation solution for your unique situation. Support compliance and improve member satisfaction with our powerful solutions, which include predefined core application programming interface (API) integrations with TriZetto Facets® and QNXT™ for efficient implementation and real-time data access and precise calculations.

Products

Empower your members with up-to-date information to make their best healthcare choices.

TriZetto EngageMember® is a software-as-a-service (SaaS) engagement portal that enables members to securely access their claims, coverage, personalized cost and network data in real time from your core administration systems. It gives members the accurate, up-to-the-minute data they require to make more informed decisions about controlling costs and managing their care.

Deliver personalized information with a standalone tool.

TriZetto Engage Cost Estimator is a standalone SaaS tool that replicates the claims adjudication process to deliver accurate, personalized treatment cost estimates to members on demand. This easy-to-use tool utilizes real-time data, so your members access personalized cost-sharing information when and where they need it.

Enhance member experiences while supporting compliance.

Powered by API services that mimic the adjudication process with data from the TriZetto core platforms, TriZetto Cost Estimate Connector provides flexible access to required data so plans can deliver accurate, personalized cost estimates to members on demand through the digital experience of their choice. 

Resources

SOLUTION OVERVIEW

TriZetto EngageMember

Grow member loyalty with great experiences powered by data.

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SOLUTION OVERVIEW

TriZetto Engage Cost Estimator

Deliver accurate, personalized cost estimates to members on demand.

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SOLUTION OVERVIEW

TriZetto Cost Estimate Connector

Build personalized cost estimates into your existing member experience.

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Take the first step

Serving customers by looking forward as well as back is a big promise, but the power of today’s new digital healthcare solutions is vast and growing. Our expertise in healthcare IT services enables us to integrate cutting-edge technology seamlessly into your operations.

Let’s talk about how digital healthcare solutions can work for your business.