TriZetto provides core administration solutions, care and network management solutions, and a wide range of constituent Web solutions. Comprehensive solutions for Medicare Advantage and managed Medicaid plans also are available, along with hosting, business and professional services.

Core Benefit Administration
TriZetto's industry-leading core administration solutions are flexible, comprehensive, integrated platforms that support multiple lines of business, including consumer-directed health plans. Solutions include Facets®, QNXT™ and QicLink™ systems. Facets delivers advanced functionality and technology for healthcare payers, with capabilities that address enterprise-wide business and e-business needs. The QNXT system delivers a powerful administrative engine with architectural flexibility for healthcare payers. The QicLink platform for TPAs delivers comprehensive functionality and improved efficiency.

Care and Network Management
The CareAdvance Enterprise® application automates and streamlines the full spectrum of care management, including case, disease, utilization and population management, while the NetworX™ Suite of applications provides unmatched tools for advanced network management, including automated pricing of claims and rapid modeling of provider contracts. These solutions help payers manage both the unit costs and the usage costs of funding care.

Constituent Engagement
TriZetto Constituent Web Solutions help payers meet the needs of members, providers, employers and brokers, and address the emerging consumer retail market. Member solutions include tools for benefit modeling, enrollment, self-service, personal health management, treatment navigation, and benefit and fund tracking. Provider solutions include capabilities for self-service, access to patient PHR, and calculation of real-time, accurate patient out-of-pocket costs and claims adjudication. Employer and Broker solutions include tools for self-service, enrollment and billing.

Services
TriZetto provides business and professional services that enable payers to accelerate the achievement of key business objectives. Through Application Hosting Services, TriZetto can host and manage customer applications from a state-of-the-art TriZetto data center or remotely manage the applications that reside within customers' premises. TriZetto Business Process Outsourcing (BPO) Services allow health plans to improve strategic focus and outsource non-critical functions, including claims administration, enrollment and premium billing, and business rules configuration. TriZetto's Professional Services team offers solutions that service your business from end-to-end. Services include product consulting, business consulting, program and project management, training and certification, technology consulting and customer-specific solutions.

Information

For more detailed information, please call 1-800-569-1222 or click on the link below. Request more information     Contact a sales rep