TriZetto® Facets® Core Administration
Leading the industry
with leading technology
Facets is the industry-leading core administrative
processing system today. With Facets accurately and
efficiently processing hundreds of millions transactions
per week for more than 80 health plans representing
more than 170 million members, it’s easy to think of it
as reliable vs. revolutionary. The truth is, Facets is both.
We have become the market leader by continually,
thoughtfully and strategically evolving our technology to
take full advantage of the latest innovations in software
design, architecture and deployment.
Table of contents
The Facets journey
Production at scale with cloud, containers, AI and more Facets meeting the
Our production-proven fundamentals
needs of clients from
Containerized runtime
Filling the continuous integration/continuous delivery pipeline 50 million lives
Incorporating IoT, AI and ML with Facets Insights to those with fewer than
Real-time processing and leading edge security
Open, modular, extensible
100,000.
Leading-edge technology for the modern healthcare organization
2 TriZetto® Facets® Core Administration
Parallel processing,
SOAP APIs, workflow, system Facets 360 web-based
Facets
database schema
telemetry, support of web UX, Facets Insights AI/
restructuring extensibility,
content expanded distributed ML platform big data, IoT,
COM service API, MS SQL
processing UX revisions, Oracle
journey
DBMS, 1MM scalability cloud optimized
DBMS, 5MM scalability
Initial launch of Facets Platform simplification Agile development
MS Windows, Sybase (Windows), distributed model, REST API, ARCSS
RDBMS, AIX and HP/UX processing architecture technology stack,
Facets regions / logical cloud-ready expanded
instances, UX revisions distributed processing
UX revisions
G1 G2 G3 G4 G5 G6
1993 2022
Since its inception, we have taken Facets from “bare metal” to virtual machines to today’s leading-edge containerization
technology. We are now beginning to realize the benefits of the 6th generation of Facets through the technology
investments we’ve made to date.
3 TriZetto® Facets® Core Administration
Production at scale with cloud,
containers, AI and more
Regardless, of their size, our Facets clients benefit from
technologies such as:
Cloud
We developed our latest Facets generation in and for the cloud. Cloud isn’t an add-on for us; it’s our
native development environment. We’ve optimized Facets to take full advantage of the scale and
flexibility of cloud computing. Yet, we are completely vendor-agnostic, so our clients are free to select
any public, private or hybrid cloud environment or on-premise and cloud mix.
Containers
We keep Facets lightweight and portable using container technologies. Our containerized runtime
We have brought our clients along on this journey, is ideal for cloud, supports optimal user experiences, speeds development and optimizes costs with
efficient use of computing resources.
continually equipping them with modern tools
and capabilities while always working to minimize
their total cost of ownership and accelerate their
Artificial intelligence and machine learning
We built AI and ML capabilities into the fabric of Facets to automatically deliver insights to clients
businesses. Facets meets the needs of all clients— based on their system’s vast data stores. Insights range from system health to user performance
from 50 million lives to those with fewer than 100,000. differences to real-time assistance to service representatives as they interact with members.
4 TriZetto® Facets® Core Administration
Our production-proven The ARCSS stack:
How Facets is built
fundamentals
A Angular TypeScript-based open-source web
application platform, is used as the foundation
Facets has proven it can deliver results in real-word, high- for single-page applications.
demand production environments on a multichannel,
24/7 basis. Further, we continually performance test Facets
against a configuration consistent with a large client. We RESTful architecture pattern using stateless
protocol and standard operations, contributing to
achieve the power and reliability to process tens of millions of R the highly responsive single-page applications and
transactions per day through a technology stack designed for runtime engine.
accuracy, scalability and intelligence.
Facets’ technology stack incorporates C++ Complex mission-critical applications require mission-
C capable technology, so all of Facets’ heavy computing
powerful modern technology and is done in a C++ high-performance natively compiled
business runtime engine. This is key to how Facets scales.
best practices. Each Facets module is
built on this stack, resulting in highly S SQL-based RDBMS, such as Microsoft SQL Server,
Oracle Exadata or Oracle Enterprise.
responsive single-page applications.
Streaming is accomplished with a high-performance
S NoSQL format . This strategy supports Facets’ event-driven
architecture and ability to subscribe to IoT data streaming
patterns. Facets may bring in events through REST APIs to
fuel applications within and outside of Facets with data.
5 TriZetto® Facets® Core Administration
Containerized Runtime
Client Layer
Thin client: Zero footprint, single-page applications, rich Angular
responsive experience. HTML5
Google Chrome
AI/ML: Infuse probabilistic logic into transaction processing for Chromium Embedded Framework
better member and provider experiences. Chart.js
APPLICATION LAYER
Application Layer For optimal performance and flexibility, we embrace
RESTful APIs: Provide a simple, natural lingua Python
RESTful APIs: Provide a simple, natural lingua franca that is containers for our runtime services. We have adopted
franca that is lightweight, flexible and scalable Kubernetes
lightweight, flexible and scalable
Runtime advances: Security advances,
.NET Core the industry-leading container orchestration system. Our
Runtime advances: Security advances, C++
elasticity; containers and orchestration. containerized runtime can take advantage of features such
elasticity; containers and orchestration. Scikit Learn
as auto-scaling and the use of policy settings to govern
resource utilization to manage cost and security.
Data Layer
Containers enable us to offer clients many different deployment options
Windows
Data streaming: Facets features a high-performance by abstracting the application from the infrastructure on which it runs.
Oracle
message store, data publishing and IoT messaging for That positions us to support a variety of operating systems and optimizes
SAP
real-time digital operations. system portability, even among cloud vendors. Containers also make it
Linux
Kafka easy for clients to deploy different instances of Facets for testing, pilot
programs or segregating customer data.
6 TriZetto® Facets® Core Administration
Filling the continuous integration/
continuous delivery pipeline
Our use of containers helps accelerate development Build pipeline Release Pipeline
of new Facets features and applications that stay Build artifacts Deploy build artifacts to CX
ahead of the healthcare industry’s always-changing
compliance and business requirements.
Regular release cadence
Our quarterly development cadence helps ensure timely delivery
of new functionality and compliance-based enhancements. Low
friction upgrades in addition to passive adoption strategies ease client Development upgrade Development Customer CI/CD
adoption of new functionality. Clients define the adoption cadence pipeline (Container) upgrade pipeline (VM) Build customer-specific image
that best suits their business needs. Upgrade image & deploy Upgrade cloud VM images and deploy to repository
to cloud repository
User-centered design
Our clients and their members and providers guide our software
engineering Our development teams include human design experts
with comprehensive product experience. Insights from user testing
and field trials help us refine each design before release.
Regression pipeline On-demand pipeline
Low friction delivery models pipeline (Container)
Clients consume deliverables that flow seamlessly from Facets’ release Cloud deploy and execute
pipeline into their own CI/CD pipelines. This approach enables easy testing environments
dissemination of new features into their environments.
7 TriZetto® Facets® Core Administration
Incorporating IoT, AI and ML
with Facets Insights
Facets Insights is an intrinsic part of Facets transaction processing,
adding probabilistic capabilities to ensure best possible outcomes
from transactions. It can compare actions against models and make
recommendations or even take rules-based actions on the fly.
Facets Insights Closed-loop feedback
By leveraging machine learning models, The closed-loop feedback system means
Facets Insights can predict the likelihood of Facets is continually learning and improving,
a member leaving the plan and recommend leading to:
a remedy to the service representative
• Optimization
interacting with that member. Facets
• Increased accuracy
Insights, again leveraging machine learning,
• Fewer errors
can act on transactions directly. An example
• Increased stability
would be identifying rejected claims that
• Calibrated sensitivity to events
would ultimately be reconsidered and not
• Increased resilience to disturbances
rejecting them to save rework and member
• Reliable and repeatable performance
dissatisfaction.
8 TriZetto® Facets® Core Administration
Enrollment Customer Service
• Real-time group and member • Enables CRM systems to manage customer
enrollments service operations via real-time integrations
Real-time processing
with Facets
• ID card requests
• Customer service task workflow
• Member self service to update demographic
management
and contact details
The TriZetto® Facets® Data Publishing Suite is an event-driven • Agents or groups to add/update
architecture that leverages a data streaming platform. The system enrollment data
publishes data about and generated by claims, members and
providers in real time. The system is flexible: clients may consume
or publish data via batch or real-time processes. In the latter,
Facets sends data as it is changed or on demand. Publishing
entities include both Facets data and custom data. Billing Interoperability
• Real-time billing operations • Digital disruption drives new models,
players and consumer demands for integrated
Leading-edge Security
• Comprehensive billing summary
view and access
• Future bills
• Payments and invoices • B2B/B2C connectivity
We incorporate security into Facets at each stage of the • Billing requests • CMS/ONC pending interoperability regulations
software development life cycle, identifying and remediating
potential security threats, guided by industry best practices
and compliance standards. We feature pluggable federated
authentication via open standards, including OpenID, OAuth2
and JWT. Facets manages authorization through comprehensive
role and application layer controls. Other features include data
Claim Processing Customer Transparency
encryption at rest and inflight, and comprehensive auditing
• Enables trading partners/providers for • Suite of APIs expands opportunities to improve
capabilities for all system and user activity and data changes. real-time claim submission and processing auto-adjudication
• Prospective cost estimates
• Consumer transparency solutions for eligibility,
• Improved auto-adjudication and data quality benefits and cost estimates
9 TriZetto® Facets® Core Administration
Open, modular, extensible
An open, flexible, modular and extensible platform enables business Built on the cloud, with REST APIs
operations automation and digital transformation and container technology, Facets
Facets easily integrates with other systems in the client landscape through REST-based APIs in order to keep Facets delivers our clients unmatched
open and extensible to other applications. We expose all data and functionality via RESTful interfaces. The RESTful flexibility, including:
semantic is the lingua franca of Facets and is easily understood and consumed by other client applications. The
RESTful API use ensures predictable API behavior when integrating these systems.
Extensibility
Clients can extend or replace Facets logic
as they choose.
Comprehensive
REST/SOAP APIs
System
Interfaces Platform flexibility
3rd party We support all major cloud vendors.
Mobile
integration and Web
Deployment options
Data Vendor Extend &
Facets has a modular architecture. Clients may
DW
Streaming Replace choose any components—enrollment, billing, claims,
Service Accum System Logic etc.—that meet current business needs. To add
APIs Sync
modules, clients only need the appropriate license
Data EDI
key. Each module is integrated and yet loosely
Publishing Subsystem
coupled.
Media
IVR
Media Facets Open Extensibility
Integration
Access
10 TriZetto® Facets® Core Administration
Leading-edge technology for the modern
healthcare organization
Facets proves its capabilities in the real world every day. From member
enrollment and billing through claims processing and care management,
our commitment to incorporating best-in-class cloud, containerization,
security, AI and interoperability technologies ensures Facets maintains
the flexibility, features and scalability that more than 80 healthcare
organizations rely on to serve their members.
For more information about how Facets’ technology stack, containerization and cloud-native development will empower your
organization to deliver the next generation of healthcare, please visit us cognizant.com/trizetto/core-administration/facets
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our fast-changing world. Together, we’re improving everyday life. See how at www.cognizant.com or follow us @Cognizant.
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