Unlimited Eligibility

Confirm coverage, co-pays, deductibles and more.

Of course, verifying patients’ insurance eligibility is an everyday part of your practice. It’s often a manual process that can involve multiple phone calls and visits to various websites.

TriZetto Provider Solutions provides you with a single source for eligibility verification, cutting the time it takes to prepare patient files for a visit. Our system connects you directly with our vast network of payers, so you can always trust you are getting the most up-to-date information on your patients’ coverage, including co-pays, deductibles and more.

We offer three levels of Eligibility Verification:
  • Basic. Included with both our Connect and Swift packages, Basic Eligibility connects your staff with most payers, enabling them to verify individual patient eligibility. A fee may apply for verification with certain payers.
  • Unlimited. Upgrade to our Unlimited eligibility plan, and you will never pay an additional fee for eligibility checks for any payer or any number of inquiries.
  • Integrated. Our top-of-the-line eligibility program interfaces directly with your Practice Management System, so you’ll never mistype patient or group ID numbers again — reducing the number of rejected claims. Upcoming patient appointments are proactively verified for insurance eligibility. You can also verify groups or batches of patients, saving you even more time.

See how TriZetto Provider Solutions can help you.

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.
Fran Wright


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