Claims

Get paid quickly and accurately.

With efficient billing processes, you can develop a strong cash flow and in turn create a healthier bottom line. That means you can reinvest money into your practice, better serve your patients, and enable better patient outcomes. Unfortunately, growing patient financial responsibility, declining reimbursement rates, and new regulations can make getting paid difficult.

Our claims management solutions are here to make revenue management easier.

Our claims management solutions are here to make revenue management easier. From smooth integration with your current workflow to direct connections with thousands of payers, our electronic claims, paper claims, and secondary claims solutions simplify the submission and remittance process. Our claims editing solutions review claims for common errors so you can fix mistakes before they impact your practice. With our claim status inquiry solution, you can always find out the status on previously submitted claims. We also provide reports that help you identify and ultimately correct issues and procedures that are creating inefficiencies within your organization.

Additionally, we can help you submit claims for worker’s compensation, personal injury, and auto accidents, as well as direct data entry solutions. We can also help you identify your risk of being audited by government entities and private payers. 

Flexible packages options are available to fit the needs of any-size business. Browse our package options.


Claims Solution Details:
Claims Editing
Work Comp

See how TriZetto Provider Solutions can help you.

We’ve been with TriZetto Provider Solutions for almost two years now. I appreciate the ease of navigating through the website and its many helpful tools! I look forward to seeing each month if I’ve made The 99 Percent Club and know when I have that I am doing my job well.
Dawn Bruneau — Performance Lifestyles, Burlington, MA

Payer List

Our solutions are integrated with more than 3,400 payers so you can easily incorporate our solutions into your business. If you don’t see a payer on our list, contact us and we can likely add them.

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Our Packages

Our ultimate goal is to help you boost revenue. We achieve our goal by helping you work as efficiently as possible, eliminating paperwork and automating your most time-consuming and error-prone tasks.

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Patient Financial Accountability on the Rise: Embracing Price Transparency

“How much will this cost me?” This common request, heard countless times a day at the auto mechanic shop, with a home service technician or an equipment repair specialist, is headed for primetime in the health care industry. And, it’s no surprise. With high deductible health plans shifting the financial burden of health care squarely onto the shoulders of patients, there’s no wonder that patients are demanding price transparency. While ignoring the question is certainly an option, it’s costing your practice money. Listen to this recorded webinar to learn more.

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