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Validating coverage and processing claims is complex. Payer organizations need solid, scalable solutions that will give them an advantage over their competition while at the same time, enable them to maintain strong relationships with their healthcare partners. Sybase solutions for healthcare payers and managed care companies are focused on the following challenges:
Analytics — These technology solutions support more comprehensive and accurate enterprise reporting and analytics. High performance solutions designed for analytics provide payers with ease and flexibility in analyzing claims and other medical and personal data to improve utilization, develop new services, eliminate waste and prevent fraud.
HIPAA — We enable healthcare payers to comply with HIPAA regulations and CMS mandates while providing fully-featured EDI translation tailored to your company’s internal processing requirements.
TriZetto FacetsŪ on Sybase Adaptive ServerŪ Enterprise - The TriZetto Facets Solution was designed around the Sybase ASE database. Sybase ASE provides the database infrastructure that allows TriZetto to offer its premier healthcare information technology solution. Today over 60% of Facets customers run their Facets solution on Sybase ASE.