How Can Tegria Support Your Tapestry Journey?

Implementation Services

Tegria offers comprehensive implementation support. We work alongside your team to minimize disruption, accelerate time-to-value, and set a strong foundation for long-term success.

• Planning and readiness
• Configuration and build
• Data conversion and migration
• Testing and validation
• End-user training
• Go-live support

Utilization Management Optimization 

• Optimize your referral auto approval rate to ensure administrative review time is only focused on cases that truly require manual intervention.  
• Enhance referral notification workflows to reduce the time your staff spends reviewing and editing messages. 
• Support the implementation, maintenance, or enhancement of referral 278 transactions with upstream payers or other downstream systems.  

Provider Directory and Network Utilization  

• Optimize provider network configuration to support utilization goals.  
• Design, configure, and maintain PCP and specialist provider records, including rosters to support member attribution, claims adjudication, and capitation arrangements.  

The work we have Tegria doing is going very well. Tegria has exceeded our expectations.

DIRECTORApril 2025, collected by KLAS Research

Claims, Provider Contracts, and Benefits Optimization  

• Evaluate the current system configuration to improve the claim auto adjudication rate. 
• Optimize claim review workflows by configuring work queues and creating training documentation.  
• Support your provider contracting team to configure, audit, and test existing and new provider contracts.  
• Provide your benefits team with additional resources to configure, audit, and test new configurations for the upcoming plan year.  

Business Intelligence and Reporting 

• Enhance operational reporting with tools directly embedded in Epic Tapestry, including:
  • Dashboards to support executive and managerial insights to drive decision-making.
  • Scorecards to manage productivity.
  • Reporting Workbench reports that empower staff through self-service reporting where appropriate.  
• Supplement your business intelligence team with additional resources to build, maintain, or enhance Epic Tapestry Clarity reporting and meet compliance requirements.  

As a whole, we were extremely pleased with the results that we got from our engagement with Tegria, especially when looking at the overall return on the investment…

DIRECTOROctober 2025, collected by KLAS Research

Strategy and Growth  

• Leverage Tegria’s expertise to develop and implement a strategy to bring a new product type, line of business, health plan, or business model onto your existing Tapestry configuration. 
• Assess, plan, and implement new Epic Tapestry modules or complementary Epic applications, such as Compass Rose. 
• Assess the potential for Payer Platform implementation.