Revenue Cycle Management

Some call it "Clearinghouse", some call it "RCM" - we call it "Getting paid what you are owed, quickly and accurately."

We combine innovative, proven products with an exacting commitment to serving our customers, in order to provide you with the tools you need to effectively manage your reimbursement cycle.

Patient Access

Reduce the risk of costly rejections and set appropriate financial expectations with patients at or before the time of service.

Claims Management

Integration with 400+ PMS vendors allows you to get paid faster with better accuracy, and improve cashflow.

Denials Management

Use remittance data and payer rules to understand the reasons for costly denials, prioritize opportunities for appeal, and automatically generate appeals.

Contract Management

Identify and appeal underpayment/overpayment and compliance issues using actual fee schedules. Model new fee schedules to assess the impact of proposed changes.

I really do appreciate all that you do for our office. Since we’ve started electronic billing, it’s made a big difference with the insurance companies. It’s also nice that a lot of TriZetto Provider Solutions employees have worked for insurance companies and know how they think.

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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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