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As consumers continue to take on greater responsibility for healthcare costs and decision-making, they need more timely and personalized health and benefit information.
TriZetto's Member Benefit Profile meets health plan members' needs for a better understanding of their health and benefits. This Web-based solution gives members an easy-to-read, well-organized and comprehensive view of their own healthcare utilization and remaining benefits. It also provides access to retrospective information about claims transactions, fund balances and transaction history across multiple member accounts.
Member Benefit Profile provides personalized answers to important member questions:
- How much did I spend on healthcare claims?
- How much do I have to spend to meet my deductibles?
- How much money do I have to spend in my tax-favored accounts?
- What is the status of any pre-authorized services?
- How can I learn about my conditions?
- How can I see a list of my health history?
With Member Benefit Profile, health plans can now give members a statement that is comprehensive across benefits, funds and care. Member Benefit Profile is a key part of TriZetto's suite of Consumer Web Solutions, which delivers member-facing support throughout the consumer healthcare lifecycle.
Benefits:
- Enhances revenue growth by increasing member and employer satisfaction as well as member retention and new-member acquisition.
- Improves the cost and quality of care by providing the opportunity to alert members to medical management programs.
- Reduces administrative costs by providing a self-service channel for members to access important utilization and plan information.
- Saves health plans the costs to produce and mail traditional explanation of benefits (EOBs).
- Helps engage members in their own care and potentially connects members with appropriate care management systems.
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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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