Patient Access

Increase the likelihood of getting paid and improve the patient experience.

As insurance grows more complicated and the number of patients using high-deductible plans increases, providers need to reduce the risk of costly rejections and denials. Through our patient access solutions, we can help you take the necessary steps to determine patient’s eligibility and financial liability estimation.

providers need to reduce the risk of costly rejections and denials

By verifying insurance and benefits before you provide services, you can help avoid some of the most common reasons for claim rejections and denials: invalid or incorrect patient insurance eligibility. Additionally, this information, along with patient liability estimation, enables you to establish financial expectations with patients – and avoid unpleasant surprises on both sides.

Patient Access solution details:
Patient Eligibility
Patient Responsibility

See how TriZetto Provider Solutions can help you.

I have been a customer of TriZetto Provider Solutions since July 2010 and am happy with the service from each one of the employees that I have been associated with during that time period.
Nancy Jones — Jemison Internal Medicine, PC, Jemison, Alabama

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.

View our Payer List Now »

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.

Learn More »

ICD-10 Planning Worksheet

Need a road map for ICD-10? Let our step-by-step planning worksheet help guide you.

Read More »

 

Welcome to the ALL NEW TriZetto Provider Solutions™ website!

You are being redirected to the new TriZetto Provider Solutions site that combines the power of all of our solutions in one place.


CURRENT GATEWAY EDI CLIENT?
Please start going directly to your client site login page here: 
https://mytools.gatewayedi.com/logon.aspx instead of accessing through the public website. Please replace any current browser
favorites with this URL.