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What is Zyter TruCare?

TruCare distinguishes itself as a comprehensive platform for managing population health, designed to aid health plans, risk-bearing organizations, and managed care entities in effectively overseeing the health of their respective populations, while simultaneously minimizing unnecessary services, improving health outcomes, and cutting costs. The platform includes a fully integrated array of modular applications that address care management, case management, disease management, utilization management, medication management, community services, virtual health, analytics, and data interoperability. Currently, TruCare supports more than 45 health plans, collectively covering upwards of 44 million individuals, and it ensures smooth workflows from the initial interaction with members and data collection to care coordination and resolving care gaps. Additionally, TruCare features pre-configured integrations that promote interoperability, allowing for seamless support of FHIR, HL7, EDI, and API-based exchanges in compliance with CMS standards. By adopting this all-encompassing strategy, TruCare not only enhances the efficiency of healthcare processes but also plays a significant role in elevating the overall quality of care that members receive. Ultimately, the platform's comprehensive capabilities make it an essential tool for organizations striving to optimize health management while addressing the complexities of modern healthcare delivery.

What is Conexia?

At the point-of-care, processes for authorization, claim processing, and payment are efficiently integrated. By enhancing care coordination, we aim to achieve improved health outcomes while reducing medical expenses and simplifying administrative workflows. Engaging providers directly at the point of care allows for immediate data sharing and collection, facilitating an unparalleled flow of health information. Our collaboration with clients focuses on developing risk management strategies that lead to superior outcomes at reduced costs. We strive to enhance the experience for all participants within the healthcare ecosystem. To maximize the effectiveness of our clients' resources, we ensure a minimum return on investment of 3:1. Conexia has developed a versatile core technology platform known as ONE, which can be tailored to align with the varying regulatory needs and operational workflows of each client in different regions. Typically, our initial implementation serves as an enhancement to the existing technology framework of payers, enabling real-time operational capabilities that significantly improve efficiency. Ultimately, our goal is to create a seamless integration that benefits all stakeholders involved in the healthcare process.

Media

Media

Integrations Supported

Additional information not provided

Integrations Supported

Additional information not provided

API Availability

Has API

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support
Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Online Training

Company Facts

Organization Name

Zyter

Date Founded

2002

Company Location

United States

Company Website

www.zyter.com/solutions/trucare-population-health-platform/

Company Facts

Organization Name

Conexia

Date Founded

1996

Company Location

United States

Company Website

conexia.com/en

Categories and Features

Categories and Features

Benefits Administration

Claims Management
Health Insurance Administration
Provider Management

Care Coordination

Not specified

Claims Processing

Claim Resolution Tracking
Compliance Management
Electronic Claims
Forms Management
Policy Administration

Healthcare CRM

Campaign Management
Medical History Records
Patient Management
Physician Management
Predictive Analytics

Hospital Management

Claims Management
Medical Billing
Policy Management

Medical Billing

Claims Processing
Invoice History
Patient Eligibility Checks

Population Health Management (PHM)

Analytics
Cost-of-Care Analysis
Patient Engagement
Patient Identification
Patient Risk Stratification
Patient-Reported Outcomes
Payment Bundling
Predictive Alerts
Test & Treatment Reminders
Utilization Tracking

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