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Medicare reform and Part D have created enormous opportunities for health plans, but they also have imposed significant demands. In order to be competitive in this growing market, you need an enterprise solution that can handle the complex and specific needs for Medicare Advantage and Part D.
TriZetto's Facets Extended Enterprise administrative system and QNXT enterprise application system offer the flexibility and scalability to accelerate your organization's entry or expansion into this fast-growing market segment. These comprehensive solutions automate your complex enrollment and claims processing, and support new federal reporting requirements, with integrated claims and medical management data in a single, accessible database and provides a total solution for Part D enrollment, reconciliation, billing and customer service.
TriZetto currently manages more than 30 percent of Medicare Advantage lives, making it a leading solution for claims and benefit administration specifically for Medicare Advantage.
Benefits
- Delivers comprehensive Medicare functionality that handles claims processing as well as complex enrollment, medical management, Part D and workflow processes
- Reduces manual labor, costs and errors associated with claims adjudication and other administrative processes
- Helps improve outcomes and reduce costs through comprehensive disease-management and care-coordination capabilities
- Enables you to respond rapidly to changes in Medicare rules and requirements
- Scales to meet the needs of organizations of any size
- Improves provider-network management and contract negotiations
- Allows you to handle customer service requirements with workflow tools that access important member information
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Information
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For more detailed information, please call 1-800-569-1222 or click on the link below.
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