Electronic Claims

More Claims Paid in Less Time, With Fewer Rejections.

Send professional, institutional, dental, split and many other claims types quickly and cleanly for the fastest possible reimbursement.

Long-standing partnerships with more than 400 EHRs and practice management systems, and direct connections with thousands of nationwide payers make it possible for us to provide electronic claims service for nearly all of your submissions. And for payers who don’t accept electronic claims, you can submit using our Paperless Paper Claims service.


  • Customized Workflow. Fully customize your own secure homepage to see exactly the tools, information and tasks you are interested in when you log in.
  • Online Claims Correction. Use an intuitive interface to fix all key areas of a claim requiring correction, in real-time.
  • Performance-at-a-Glance. Evaluate your practice’s revenue performance using benchmarks from the industry and other TPS clients.
  • Delivery Confirmation. See key information about all pending and processed claims files, including transmitted files, claims value, acknowledgements and more.
  • Safety Net Reporting. Review all rejected claims, along with total and individual claim value, on one simple screen so you can take action to resolve as soon as possible.
  • User Access Permissions. Control who can access data, and when; adjust data access levels based on teams or individuals as quickly and easily as needed.
  • Rejection Analysis. Easily identify the most common reasons for rejected claims, and the revenue impact to the business.
  • Stable Pricing. Enjoy pricing options such as our 2-year Agreement giving you stable and predictable pricing, and providing longer term financial planning.

More than 250,000 providers across 30,000 healthcare organizations trust our solutions to help them manage their revenue cycle – contact us today and find out how quick and easy it is to start sending claims with TriZetto Provider Solutions.

 

The support staff and reporting capabilities have helped our office run more efficiently. Thank you for the customer service and personal attention our office has received from TriZetto.
Jim Radiology Billing
Orem, UT

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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