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A highly effective adjunct to traditional customer service models, portal technology-based Member Solutions enable 24/7 access to key plan data and self-service tools. These solutions provide access to information on plan utilization and coverage, medical history, and treatment cost comparison. The health plan enjoys increased member engagement and satisfaction while reducing administrative expense.
TriZetto® EngageMember® allows members to access healthcare data from core systems on-demand. By empowering members with timely healthcare data, members can make their own more informed care decisions based on their coverage, claims and costs to support improving outcomes and lowering the cost of care.
TriZetto® Treatment Cost Navigator® allows members to obtain estimates of potential out-of-pocket costs for particular treatments. Regional, as well as provider-specific pricing information for both medical and dental treatment comparison is provided utilizing real-time benefit and provider cost data to deliver accurate, personalized results. With this information, members can make more intelligent decisions regarding their healthcare, while effectively budgeting for treatment expenses.