Facets® Managed Care System
To succeed in today's highly competitive health care environment, organizations need the right technology to provide effective health care solutions. TMG Health utilizes the fully integrated Trizetto Facets managed care information system. The system's highly advanced, state-of-the-art client/server technology delivers high performance, flexibility, power and robust scalability. Its open systems architecture facilitates integration with existing and external systems while its extensive relational database offers comprehensive reporting capability.
In addition to delivering leading edge technology, Facets contains integrated Medical Management applications and extensive Medicare and Medicaid managed care functionality.

TMG Health system solutions include:

  • Trizetto’s Facets® Managed Care System
    – Membership Eligibility and Billing
    – Customer Services (Provider and Member)
    – Provider Data Management
    – Claims and Encounter Processing
    – Capitation
    – Risk Fund Accounting
    – Medical Plan (Benefits and Payment Rules)
    – Appeals and Grievances
    – Medical Management
  • TMG Health's Enrollment & Reconciliation Software
  • TMG Health's Web Based Reporting
  • TMG Health's Claims Pre-Processing Software
  • TMG Health's DRG Grouping and APC Pricing Software
  • TMG Health's Medicare Risk Adjustment Software
  • TMG Health's Medicare Encounter Data Reporting Program
  • Health Web Internet Module