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With the individual and small group market continuing to expand, healthcare payers are looking for solutions that can accommodate today’s multifaceted plan designs while leveraging the power of digital to deliver a consumer-centric experience via multi-channel communications.
The Cognizant line of TriZetto Healthcare Products offers proven solutions that support regulatory compliance and enable the retail-based administration of individual, family, small group and Medicaid lines of business. Members, providers, employers and brokers can perform the self-service inquiries and transactions critical to driving convenience and satisfaction—with access delivered via a Healthcare Insurance Exchange or other digital platform.
Stakeholders are connected and engaged, and consumers are empowered to make informed decisions regarding cost of care and quality. Enhance your individual and small group business with:
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.
Automates transaction processing and information exchange between payer organizations and their external constituents.