OnBase – Cognizant TriZetto® Integration

Improve productivity, empower decision-making and speed claims processing

Healthcare Payer

In today’s high-cost, highly regulated claims environment, Healthcare payers face tremendous pressure. Providing fingertip access to the information their staff members need to accurately investigate and settle a claim not only eases their burden, but it lessens the risk of claims leakage for the insurers.

The Trizetto integration with OnBase provides a seamless integration to complement and extend the care management and claims experience. The integration includes:

  • TriZetto Facets™
  • Care Advance Enterprise®
  • QNXT™

Claims adjusters enjoy instant access to claims and policy documents from within their familiar TriZetto displays. This reduces the number of steps required to create certain activities records, freeing the adjuster to perform higher value tasks.

Activities in TriZetto prompt OnBase to initiate ancillary processes, such as medical review, subrogation, litigation, and so forth, automatically to expedite claims processing.

With information stored in a single document repository, care managers no longer need to search for files. Rather, they access files directly from within the TriZetto application they use.

Technical benefits of the OnBase – Cognizant TriZetto Integration

Beyond the benefits business users will experience, IT staff enjoy these advantages:

  • Requires no development.  Point-and-click configurable components provide out-of-the-box configuration with no coding or API programming to achieve the integration.
  • Independent upgrades. Customers may upgrade their TriZetto system independently of their OnBase system. This ensures the connectors will work across various versions of OnBase and TriZetto applications.
  • Robust, fault-tolerant messaging infrastructure. The OnBase Integration for TriZetto uses the OnBase Enterprise Integration Server.