About This Webinar
The health care industry continues to grapple with silos between payers, providers and patients—resulting in fragmented workflows, delayed prior authorizations, prolonged claims processing, and increasing administrative costs. Regulatory mandates such as CMS-0057, TEFCA, alongside mounting pressures from payer-provider networks, are accelerating the imperative for digital transformation and interoperability. The TriZetto® Unify Strategy, offers a flexible, standards-based framework that bridges payer-provider workflows. It supports seamless adoption of HL7® FHIR® while maintaining compatibility with legacy X12 transactions, enabling organizations to meet current mandates and future-proof their operations.
This session will explore how the TriZetto Unify Strategy transforms payer-provider collaboration through a dual-sided interoperability platform that supports both HL7 FHIR and X12 standards. Attendees will gain insight into how to automate prior authorization workflows (CRD, DTR, PAS), enable X12-278 conversion and support CDEX and DEQM transactions. We’ll also examine how the platform strengthens connectivity across clearinghouses and EMRs, enabling real-time, bidirectional data exchange that reduces administrative friction and accelerates compliance with CMS-0057-F and TEFCA mandates.
Through real-world adoption examples, we’ll demonstrate how health plans and provider networks are reducing administrative burden, improving care coordination and enhancing both member and provider experiences.
Attendees Will Learn
- How the TriZetto Unify Strategy accelerates compliance with CMS interoperability rules and TEFCA requirements
- Ways to reduce administrative friction in prior authorization workflows
- How we deliver value by supporting both HL7 FHIR and X12 transactions
- Practical adoption strategies to phased capability adoption that along with current regulatory mandates
