There’s more to reimbursement than just claims processing. To enable your organization to get what is actually owed, you need the revenue management tools and services that empower confident billing, faster payments, and more informed decisions.
Reduce the risk of costly denials and establish appropriate financial expectations with patients.
Get paid quickly and accurately.
Make it easier to collect patient payments.
Gain a deeper understanding of denials and efficiently handle appeals.
Evaluate contract performance to generate more revenue and negotiate fair terms.
Get up and running quickly and receive prompt answers to your questions.
We have been using TriZetto Provider Solutions for 10 years now for all our claims submission and I must say they are awesome! All our claims are filed with ease and its done quickly! When I have to call, they are very nice and helpful, which means everything.
Lynn Haney, Drs Record & Record Optometrists, Charlottesville, Virginia
Gain actionable insight into your claims and contracts so you can improve your billing and payment processes.
Easily incorporate our solutions into your workflow.
Our infrastructure helps providers get accurate payments quickly.
With access to the most direct payer connections in the industry, you'll receive increased transparency into patients' benefits for more accurate and efficient collections.
Our clients average a 98% first-time, clean claim acceptance rate.
Join the other smart healthcare providers who rely on us to help them positively impact their practices’ health.
See how TriZetto Provider Solutions can help you.
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.
Whether you need an intelligent revenue management solution or a simple and effective claims clearinghouse service, we have a package for you.
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.
We help physicians, hospitals and health systems simplify business processes and get accurate payments quickly. We will always look for new ways to help you improve revenue and increase cash flow. We will stay ahead of regulatory changes so your office will never struggle to keep up. All so you can focus on the one thing that really matters: doing what is best for your patients.
Patient AccessClaimsCollectionsDenial ManagementContract ManagementCustomer Care
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St. Louis, MO 63102