Commercial/ Individual Program Solutions

  • Sales and Marketing Automation

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    Colibrium

    TriZetto and Colibrium have partnered to offer Medicare Advantage Plans a Sales and Marketing Automation solution that provides enterprise class CRM capabilities, enabling comprehensive marketing automation, campaign management and segmentation. The solution also offers Medicare Advantage plans flexibility to sell effectively through all channels, using online, direct or mobile communications. Plans can streamline their Medicare open enrollment process with advanced, compliant marketing and workflow automation.

    HIX Payment Reconciliation

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    Valencia

    TriZetto has partnered with Gorman Health Group to bring clients a Health Insurance Exchange reconciliation product. Valencia is a data reconciliation tool designed to save time and money. It works by comparing membership and financial data from the Exchange to the membership and financial data in the core administration system and reconciling discrepancies ensuring accurate data is reported in a timely manner. Reconciliation is required on a monthly basis by CMS, but reconciliation is a fluid, never ending process. Valencia solves the reconciliation problem.