From consumers shopping for health insurance coverage to care managers making clinical decisions, healthcare stakeholders want simple, smart experiences. In most healthcare organizations, though, the data required to deliver rich, engaging experiences is usually trapped in multiple disparate systems.
Now healthcare organizations can easily access that data to support personalized service, well informed clinical decisions and digital innovation. TriZetto? TranZform? swiftly connects data from quality, financial and clinical systems to create real-time insights and actionable information.
TriZetto TranZform is powered by the TranZform Platform, our system-agnostic data orchestration layer that uses rich Application Programming Interfaces (APIs) to automatically communicate in real-time with core administration systems and critical applications, including electronic medical records (EMR). We’ve built in integration with Facets?, QNXT?, and QicLink? as well as a wide range of other core systems for fast deployment. With our API approach, healthcare organizations don’t need another data warehouse, can eliminate custom batch integrations, expensive software upgrades and costly integration maintenance. With TranZform, organizations can draw directly from source systems to provide data when and from where it’s needed, ensuring a high degree of data integrity.
By delivering data and meaning directly to stakeholders, TranZform enables healthcare organizations to drive deeper engagement, improve outcomes, achieve new operating efficiencies and reduce costs.
An API-rich platform that delivers data from disparate systems to the portals, systems of engagement and other critical systems and applications in real time.
Predictive analytics that identifies members and patients across the spectrum of risk from high to low cost and utilization and supports innovative digital care plans for chronic and wellness offerings.
Enables physicians and other care providers to access detailed information on their patients, efficiently log claims and make templates for common claims, as well as easily create referrals and authorizations.
Members may interact anytime, anywhere and receive a detailed view of their coverage information with compelling metrics, timely notifications and relevant healthcare content.
A personalized and guided shopping experience for selecting health insurance coverage.
Enables brokers to manage multiple clients simultaneously, keeping tabs on coverage, billing and commissions payments all in one place.
Empowers groups with real-time paperless health insurance enrollments for their employees. Employers can easily get quotes, add members, adjust enrollment periods and manage employee coverage.
Comprehensive, flexible and scalable core administrative solutions that enable the digital transformation required for success in the commercial market.
Supports the economic advantage and efficiency needed to administer an individual line of business and participate in public and private insurance exchanges.
Flexible IT solutions to address requirements with customizable functionality.
Functionality that adapts to meet the complexities and demands of the Medicare Advantage market.
Functionality that adapts to meet the complexities and demands of the Managed Medicaid market.
Flexible solutions to coordinate multiple compliance requirements and ease administration burdens.
Share your success by nominating your organization for a Healthcare Excellence Award. Clients’ nominations will be recognized at the 2020 Conference. Winners will be announced in the categories of excellence in innovation and operations. Let this be the year your organization is recognized. Join the company of previous finalists and winners. To learn more about the nomination process, contact the program manager.LEARN MORE