Contract Management

Close the gaps between expected and actual reimbursement.

Approximately one out of every 14 healthcare claims is paid inaccurately, according to the 2013 AMA National Health Insurer Report Card. This missing revenue can significantly impact your organization’s bottom line. But spending valuable time uncovering and appealing underpaid and denied healthcare claims can also be expensive.

you can understand the true costs of doing business with a payer and make solid decisions

Our contract management solutions can help you recover lost revenue and reduce administrative hassles. With reimbursement manager, you’ll gain greater transparency into payer performance by monitoring the accuracy of contracted payments. And when it comes time to negotiate payer contracts, we can help you evaluate fee schedules through contract manager, so you can understand how the proposed changes will affect your overall revenue.

Additionally, we can help you recover more underpayments and appeal claims more successfully. Through comprehensive reports and analytics, you can identify trends and take appropriate action to help prevent future issues. We also help automate the appeals process, identifying errors and creating appeal letters so you don’t have to perform these tasks manually.

With the information provided through our contract management solutions, you can understand the true costs of doing business with a payer and make solid decisions that will boost earnings and keep your organization growing.


Contract Management Solution Details:
Appeal Automation
Contract Manager
Trends Identification

See how TriZetto Provider Solutions can help you.

I want to personally thank the entire TriZetto Provider Solutions team for great customer service I receive. My questions are quickly answered and any issues are promptly corrected.
Peggy — Hillcrest Eyecare, Simpsonville, SC

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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