Maximize your FACETS investment with our specialized blended-shore delivery model. Full lifecycle support from implementation to optimization.
System Optimization
Custom Development
Upgrade Support
Performance Tuning
BenefitPro™ provides a comparison between the offered benefits and the configured benefits at the service level. It includes validation of preauthorization, limit, and deductible that compares offered vs configured values. Claim level validation ensures proper provider reimbursement and member liability.
Service-Level Benefit Validation
A comparison between the offered benefits and the configured benefits at the service level.
Side-by-side comparison of offered vs. configured benefits
Benefit validation simplified to service level granularity
Validation of preauthorization, limit, and deductible that compares offered vs configured values
Claim level validation ensures proper provider reimbursement and member liability
Renewal & Selective Testing
Ability to test only the changes for renewal products with minor changes in benefits.
Ability to choose a service category like physician, hospital services, or individual services like chemo or LAB in different settings
Easy retesting with the ability to select only fixed services
Setup of benchmark claims at the service level, which eliminates the repetitive process of coming up with claims for each testing cycle
The product can be assigned to multiple testers based on categories that improve productivity
Trizetto FACETS Integration
Efficient comparison between benefit artifacts vs what is configured in Trizetto Facets.
Efficient comparison between benefit artifacts vs what is configured in Trizetto Facets
Automatically generates claims XC keyword to be loaded in Trizetto Facets
Setup of benchmark claims at the service level
Eliminates repetitive process of coming up with claims for each testing cycle
