Facets is an integrated health care
payers' administration solution. The Facets system
gives them a platform for fostering collaboration and building connections
among members, employers, brokers and providers. Facets is a wonderful
tool to handle the complex and challenging requirements of managed health
plans. In order to perform the desired functions efficiently, Facets is
organized into application groups and each group consists of several
applications. In 2.81 version of Facets, there were 16 application groups, they
are as follows:
1.
Accounting application group
2.
Application Support application group
3.
Billing application group
4.
Capitation/Risk Allocation application group
5. Claims
Processing application group
6.
Commission application group
7.
Criteria Maintenance application group
8.
Customer Service application group
9. Dental
Plan application group
10.
Dental Provider Agreement application group
11.
Medical Plan application group
12.
Medical Provider Agreement application group
13. Pricing Profile application group
14.
Provider application group
15.
Subscriber/Member application group
16.
Utilization Management application group
1. Claims Processing + ITS application group
2. ITS Plan application group
3. NetworX application group
4. Vision Plan application group
5. Workflow Group Configuration
5. Workflow Group Configuration
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