TriZetto® Touchless Authorization Processing
Cognizant에 의해
Eliminate operational burden by automating prior authorization requests
TriZetto® Touchless Authorization Processing (TTAP) is a proven cloud-based solution that streamlines the prior authorization process and predetermination or precertification by automating healthcare prior authorization requests. TTAP enables payers and their providers to provide quick responses to patients by eliminating significant operational payer and provider burden performing analysis, coordination and management of authorization requests and approvals. There’s no reason that hours, days, or weeks or processing are required when authorization turn-around time can be reduced to minutes through automation, saving valuable time and costs.
TriZetto® Touchless Authorization Processing (TTAP) prior authorization processing solution for payers and their providers supports medical pre-planned inpatient and outpatient procedures. TTAP streamlines the prior authorization process, automates eligibility checks, and identifies whether authorizations are needed, and receives an immediate automated response.
The solution offers the ability for payers to design, configure, maintain and automate both business and clinical rules, and will accommodate payer clinical guideline sets, which currently includes NCD, LCD, Change HealthCare’s InterQual medical criteria product, and custom sets.
Key differentiators:
- TTAP is based on HIPAA EDI 278/275 authorization standards and 270/271 eligibility standards
- TTAP has Cognizant TriZetto productized integration with QNXT and Facets Core and Utilization Management systems allowing quick installation and go-live. Custom consulting services are available for custom integration using standard TTAP API's with the payer’s utilization management and cores system if not utilizing Cognizant systems.
- Clients may custom configure Payer & Provider Portal for the users
- TTAP is architected using Cognizant TriZetto Digital Healthcare Platform which enables quick responsiveness to regulatory changes and standardized integration with 3rd parties, client custom, and AI/ML/NLP capabilities