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Health plans today must meet member demand for high levels of customer service and, at the same time, they must keep administrative costs low. Armed with effective Web-based self-service tools, health plan members can look up information and perform routine transactions at any time of day or night, from any location, without the help of a customer service representative.

For payers seeking to enhance member convenience and satisfaction while driving increases in administrative efficiency and cost-effectiveness, TriZetto offers the Member Service application. Health plan members can use this proven Web-based self-service solution to get answers fast on an array of routine inquiries involving such questions as eligibility, status of claims, student and handicap information, benefits summaries, product details, providers and facilities. They also can update their primary care physician, address and other demographic information.

The TriZetto Member Service application is integrated with the TriZetto Facets® core administration platform, so members can get access to the most current information available and enter new information directly into the Facets database. Integration with the TriZetto QNXT™ core administration platform is currently under development.

The Member Service application is a part of TriZetto's Constituent Web Solutions, a comprehensive set of e-business applications designed to enable key health-plan constituents to perform real-time transactions.

Benefits:

  • Streamlines customer service by providing numerous Web-enabled transactions
  • Reduces transaction costs by diverting costly calls to the Web
  • Improves the accuracy of customer data by enabling members to immediately update information online
  • Improves customer satisfaction and retention by providing 24x7 access to consistently accurate information that your customers want and need



Information
For more detailed information, please call 1-800-569-1222 or click on the link below.
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