More organizations today want to offer consumer-directed programs that incorporate a combination of high-deductible health plans and HSA and/or HRA benefits.
To win these clients, you need a solution that lets you quickly and easily incorporate these plan parameters into your processing strategy. TriZetto helps you deliver consumer-directed healthcare (CDH) product designs through its QicLink™ CDH Suite.
TriZetto's QicLink CDH Suite delivers the comprehensive range of capabilities necessary to cost-effectively implement and administer CDH product designs. The QicLink CDH Suite automates administration of HRAs/FSAs/HSAs; improves workflows; enables online enrollment and access; supports debit card utilization and facilitates seamless interoperability across the enterprise.
The QicLink CDH module helps you cost-effectively administer high-deductible health plans, health savings accounts and health reimbursement arrangements. The CDH application integrates plan benefits, debit cards, and financial institutions together in one system to provide real-time bank and debit card processing.
TriZetto’s Flexible Spending component integrates with your QicLink™ system to provide a recordkeeping system for flexible spending. The solution enables you to maintain enrollee contributions, expense and payment information, and track year-to-date activity. You can accurately and automatically calculate available plan dollars and qualifying expenses. And tight integration with Alegeus, the leading debit-card company, allows for real-time access to account balances, which greatly reduces the need for manual intervention during expense reimbursement processing.
QicLink Benefits Exchange (QBE) enables QicLink system users to offer a comprehensive integrated online solution to their client managers and enrollees. With QBE, you can automate routing of benefits inquiries and provide secure online access to eligibility data and claims status information to enrollees, physicians, hospitals, PPOs, employers, and plan sponsors. With this solution, the information your clients need is only a mouse click away.
Intelligent Automation for High Volume, High Value Claims Processing
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As a leading provider of healthcare IT solutions for payers and providers, TriZetto delivers innovative claims management systems, clinical care management solutions, core administration software and network management solutions that help reduce costs, streamline administration and improve the quality of care. TriZetto’s leading edge solutions are helping to transform the healthcare industry by better aligning health insurance incentives, speeding healthcare claim processing, promoting value-based benefits, improving population health management, and reducing the cost of claims processing services and supporting the accountable care organization.