Action Edits

Run claim edits in real time before submission.

Improve your clean claim rates by correcting errors prior to submission with real time claim edits. This solution within the TriZetto Provider Solutions platform seamlessly integrates with many practice management systems for easy building of claims.
 

Action Edits includes these key benefits:

  • The ability to identify errors prior to submission to improve clean claims rate
  • Real-time responses
  • Quicker recognition of revenue as more claims are submitted correctly the first time


Notification when action is required allows you to catch and correct errors before they harm your bottom line, leading to faster revenue recognition since there is less need for claim resubmission. With Action Edits™ functionality in play, expect to see claim errors drop to 1% or less.*

 

*Based on sample data gathered during testing phase. Results may vary.
 

We’ve been with TriZetto Provider Solutions for almost two years now. I appreciate the ease of navigating through the website and its many helpful tools! I look forward to seeing each month if I’ve made The 99 Percent Club and know when I have that I am doing my job well.

TriZetto Provider Solutions® Powered by Cognizant

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.

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