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.

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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Post ICD-10 FAQ Session

As a medical community, we prepared for the worst case scenarios for ICD-10 adoption. While it doesn’t appear to have ended healthcare as we know it, there were glitches in the implementation. New coding questions have come up, some of which mean conflicting definitions between CPT/HCPCS and ICD-10. This free webinar, hosted by TriZetto Provider Solutions and Jennifer Searfoss, will answer questions about ICD-10 implementation so far. Join us Nov. 19 to learn how to respond to claim rejections and denials due to ICD-10 codes.

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