Advanced Coding Edits

Cleaner. Quicker. Compliant Claims.

Submit cleaner claims by subjecting them to more than 30,000 additional edits to quickly identify problems and correct errors before they are submitted to payers.


Advantages of Advanced Coding Edits (ACE) with TriZetto Provider Solutions:

  • Sophisticated edits. Extra claims scrubbing looks for specific things such as NCCI, medical necessity, modifiers and more.
  • Simplicity. Rejections are compiled in a standardized and easy-to-understand format.
  • Compliant. Increase compliance and decrease risks by identifying incorrect coding upfront.

With this additional layer of claim scrubbing, you can catch errors before they are denied by the payer and avoid the rework and associated costs.

 

Customer service is big for us, so working with a partner like TriZetto Provider Solutions who shares our concerns and understands that our problems are their problems is important. If we were to go out and develop a new relationship with a different clearinghouse we may not get that.

Workers’ Compensation Made Easy - Webinar

Manual processing of workers’ compensation, auto accident, and liability claims is slow, time-consuming, frustrating – and expensive. With strict state and payer mandates, these claims can add significant work to your practice’s daily load. Discover why one workflow can improve your ROI.

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TriZetto Provider Solutions® Powered by Cognizant

We help physicians, hospitals and health systems simplify business processes and get accurate payments quickly. We will always look for new ways to help you improve revenue and increase cash flow. We will stay ahead of regulatory changes so your office will never struggle to keep up. All so you can focus on the one thing that really matters: doing what is best for your patients.

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