TriZetto Healthcare Products

Hear how one client leveraged the advanced business rules in TriZetto® Clinical CareAdvance® to automate care management, which allowed clinicians to spend more time on medical review and make care decisions faster. #Healthcare #Payers #Automation #UtilizationManagement Cognizant https://cogniz.at/3xJpOu6

This short video discusses care decisions─“Moments that Matter”─ that impact patients’ lives. Hear how the new prior authorization standards and mandates, which require automation and integration, will help ensure that patients get the care they need for their health and wellbeing. Click the link to watch the video. #PriorAuthorization #Interoperability Cognizant https://cogniz.at/3y4ATX2

TriZetto Elements Enrollment Administration Manager is now integrated into the TriZetto Facets and QNXT core administration systems, utilizing modern technologies to revolutionize the industry by providing an event-driven solution that eliminates the need for cumbersome batch processing of Medicare events. Processing eligibility, providing timely access to member benefits and eliminating the need for custom processing are just a few of the ‘value adds’ Facets and QNXT customers can expect when adopting this event-driven integration. Learn more about our EAM solution. #Healthcare #Payers #Enrollment #GovernmentPrograms #MedicareAdvantage #CoreAdministration #Automation Cognizant https://cogniz.at/3VJYOCF

TriZetto Facets users can easily eliminate costly claims administration, customer service, and appeals and grievance processes with the automation in TriZetto® Facets® Workflow. The integrated application automates manual tasks and streamlines the delivery of work to users, improving critical business processes while reducing manual labor, errors and administrative costs. #Healthcare #Payers #Claims #Automation #TriZetto Cognizant https://cogniz.at/3W63zIo

See how Community Health Choice (CHC), a nonprofit managed care organization offering affordable and no-cost health insurance plans to more than 375,000 members in Texas, leveraged intelligent automation to increase efficiency in meeting Medicaid requirements and cut costs by 69%. Read the case study to learn how CHC saved $9.9M in labor costs, freed 300,000 staff hours for higher-value projects and decreased claims turnaround times and penalties by deploying Cognizant Robotic Automation Services. #Healthcare #Payers #Automation #RoboticProcessAutomation #AI Cognizant https://cogniz.at/3RK76cJ

QNXT users can elevate the customer experience by streamlining cross-department coordination with the rules-driven workflow management in QNXT Appeals and Grievance Workflow. See how the seamless integration with QNXT claims workflow can eliminate email communication to facilitate effortless collaboration with claims and care management teams and how AI-based Robotic Automation integration enables ultimate efficiency and compliance. #CustomerSatisfaction #HealthcareCompliance #Healthcare #Payers #Claims #Automation #TriZetto #QNXT Cognizant https://cogniz.at/4brwZVA

Walter Briggs of Physicians Health Plan discusses the benefits of a next-generation core administration system—including automation, scalability and flexibility—and explains how his team worked in partnership with Cognizant to develop a solution with the capabilities to meet their needs. #Healthcare #Payers #CAPS #IntelligentAutomation #Facets Cognizant https://cogniz.at/4btOsgm

Offer a first-class member experience by enabling visibility throughout the entire enrollment process—ensuring nothing slips through the cracks. See how payers with government programs can assign, track and follow up on enrollment-related work items all in one user-friendly interface. #Healthcare #Payers #Enrollment #MedicareAdvantage Cognizant https://cogniz.at/3zBVhPq

Join our Cognizant TriZetto Healthcare Products team in the Network Lounge at the HCAA 2024 TPA Summit, July 15-17 in St. Louis, MO to learn how the automation in our core administrative solutions for third-party administrators and self-funded plans can help you meet your business objectives. #Healthcare #Payers #TPA #ASO #CoreAdministration #CAPS #HCAATPASUMMIT Cognizant https://cogniz.at/3L7snco

Hear how Physicians Health Plan of Michigan quickly and affordably redesigned care management to earn NCQA® accreditation and improve health outcomes. #Healthcare #Payers #CareAdvance #CaseManagement #Automation Cognizant https://cogniz.at/3XLXPEH