Address payment problems with

TriZetto Provider Solutions®

ICD-10 IconWe can help make your ICD-10 transition as painless as possible.
Even though we’ve officially made the switch to ICD-10, the work is far from over. We know these next few months may be challenging, and we are here to help.  Learn More:

Improve the health of your organization.

Smart healthcare organizations know that optimizing billing and payment processes can be vital to a healthy bottom line. That’s why they rely on TriZetto Provider Solutions. With our revenue management solutions, you’ll not only get paid quickly and accurately, but you’ll also be able to see trends and identify ways to maximize reimbursement.
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We have been using TriZetto Provider Solutions for 10 years now for all our claims submission and I must say they are awesome! All our claims are filed with ease and its done quickly! When I have to call, they are very nice and helpful, which means everything.
Lynn Haney, Drs Record & Record Optometrists, Charlottesville, Virginia

Latest News

  • 06.01.2016

    MIPS: What You Need to Know Now

    Just seven months remain before the new Medicare physician payment systems go into effect. On April 27, the federal government released the proposed final version of MIPS, one of the new systems. Here’s what you need to know now. 

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  • 05.03.2016

    Underprofile Payments: Detection and Resolution

    Let the old saying, “we all make mistakes,” be your guiding principal for monitoring the money coming in from third-party payers. As remittances are received from payers, your duty is to verify that the information is correct. Sounds like a simple task, but there are several crucial steps to achieving consistent success in recognizing and remediating less-than-expected – underprofile – payments. 

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  • 05.01.2016

    News You Can Use: Medicare Reporting and Returning of Self-Identified Overpayments

    With continually changing industry regulations, it becomes more difficult for providers to stay adequately informed. To help your practice adjust to the new Medicare reporting regulations, we’ve gathered articles from a variety of industry experts who help explain how the rule may impact you and what you want to know. 

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See how TriZetto Provider Solutions can help you positively impact your organization’s bottom line with our ROI Calculators.

Times are changing. A greater number of patients are covered by health insurance than ever before and many don’t understand their health plans. Patient financial responsibility has increased and practice revenue is now more dependent on patient payments. Learn how your practice can navigate skyrocketing patient financial responsibility in this recorded webinar hosted by TriZetto Provider Solutions and Betsy Nicoletti.

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In February, the Centers for Medicare and Medicaid Services (CMS) released new rules regarding overpayments. Historically, overpayments – often referred to as “credits” in the business office – have been identified and addressed at the practice’s own volition. CMS’ Final Rule removes any latitude you may have relied upon in the past, requiring Medicare overpayments to be returned no later than 60 days after being identified.

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With the impending Medicare transition to value-based care, required quality reporting and continued trend of mergers, every office manager should be prepared to lead their organizations into the future. This recorded session, hosted by TriZetto Provider Solutions and led by industry guru Jennifer Searfoss, covers new realities that medical offices large and small should know in 2016.

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