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Health plans today face growing transparency demands as consumers assume greater responsibility for healthcare costs and decision-making. Before receiving care, health plan members need to be able to obtain estimates of likely out-of-pocket costs for particular treatments. Without such information, members can't effectively anticipate and budget for expenses they will face at the provider's office.

The TriZetto Treatment Cost Navigator is a configurable solution that delivers treatment cost and out-of-pocket liability information to members. It can be integrated with your health plan's core administration system, ensuring member-specific information about eligibility, plan of benefits, deductibles, and pricing of healthcare services. Integration enables the health plan to deliver truly personalized information to members.

The Treatment Cost Navigator is a part of TriZetto's suite of Consumer Web Solutions, which delivers member-facing support throughout the consumer healthcare lifecycle.

Benefits:

  • Provides the most accurate real-time out-of-pocket liability estimate and benefit summary available, showing what the member can expect to owe for services
  • Allows health plans to educate members regarding costs of particular treatments
  • Indicates out-of-pocket costs that are fully reconciled in real time with the member's current accumulated deductible and/or out-of-pocket maximums
  • Enhances revenue growth by increasing member retention and new-member acquisition
  • Improves the cost and quality of care by enabling members to evaluate costs and treatment options before care is delivered.
  • Reduces administrative costs by providing self-service member access to cost information



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