Customer Care

Revenue management just got easier

When you contract with TriZetto Provider Solutions, you’ll get tools and solutions that will help you protect your bottom line whenever you need it. From getting you up and running quickly, to answering questions as they arise, to keeping you up-to-date on important industry topics, our customer care team is here to assist you with getting paid faster and more accurately.

We have a 96 percent client retention rate – an indication that our solutions and support have positively impacted providers across the country.

Our robust implementation process and tight integrations with more than 400 PM/EHR systems enable our solutions to fit into your workflow. Be productive from the start with:

  • A complimentary enrollment process that simplifies the tedious task of setting up your payers

  • Onsite and web-based training

  • Ongoing training for existing and new employees

  • Industry-related resources including webinars, e-newsletters, manuals, white papers and more

  • No long-term contracts

  • Live, U.S.-based customer support with an excellent first-call resolution rate

See how TriZetto Provider Solutions can help you.

TriZetto is very good to work with. I am able to get a hold of them right away and I am on a first name basis with many of them. They help me with electronic remittance set-up and notify me of errors right away so I can correct my mistakes. TriZetto goes above and beyond to help me in a timely fashion, and if the person I am working with cannot answer my questions they know someone who can.
Nikki Harmon — Stat Billing, LLC, Castroville, TX

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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What’s New in Diagnosis Coding? Risk Adjustment for Physician Practices

Many practices are part of, or soon will be part of, Accountable Care Organizations (ACO) or other Alternative Payment Models (APM). These payment models will provide bonuses or penalties, based partially on the severity of the practice’s patient population. The payer uses diagnosis codes submitted on claims to determine this severity. Payments for individual physician services are based on CPT code, but now, accurately reporting co-morbidities and underlying medical conditions will affect reimbursement for physician practices.

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