In an increasingly complex healthcare environment, payers continually struggle to be responsive and remain competitive. As plans seek to entice new members, control costs, and leverage the detail of ICD-10 to improve care, many plans are faced with introducing an ever-growing number of benefit plans.
The Facets core administrative system from TriZetto and its optional modules provides payers the tools and resources to accommodate their business needs and new benefit plans. One of the ways the Facets solution accomplishes this is through the new supplemental mappings, which enable payers to have greater precision and more ways to configure the claims processing rules and qualifiers required by those new benefit plans.
We offer the Supplemental Mapping Management (SMM) Tool for Facets clients who need an easier way to manage and configure the supplemental mappings. The Supplemental Mapping Management Tool provides your organization additional capability to manage new rules and qualifier groups, make configuration changes faster and more accurately, increase administrative efficiency, and optimize configurations for increased performance.
With SMM, your organization can:
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TriZetto delivers world-class, healthcare IT solutions that enable healthcare organizations to work more efficiently and collaboratively to deliver better health. TriZetto solutions help health plans and TPAs increase administrative efficiency, improve the cost and quality of care, and succeed in the retail healthcare market. TriZetto solutions help physicians and health systems simplify business processes and execute strategies for population health management, accountable care, and value-based initiatives. TriZetto’s healthcare expertise, innovative solutions and comprehensive services help simplify healthcare for everyone.