TriZetto® Advanced Reimbursement Manager

Comprehensive Denials Management to Easily Find Your Missing Revenue and Reduce Costs.

Revenue from denied claims isn’t easy to find, unless you have the right tools. Advanced Reimbursement Manager (ARM) is a denials and contract management tool for professional and institutional claims. The solution discovers denials and underpayments due to late payments, mistaken clinical edits and more and makes these clearly visible to you in a few clicks.

  • Easily monitor transactions
  • Identify common errors and payer trends
  • Eliminate manual inspection of individual payments
  • Analyze contract performance

ARM allows users to organize data through robust custom and simplified reporting, enabling revenue cycle personnel to easily identify and prioritize the most impactful denials and underpayments for appeal.

Integration with TriZetto Provider Solutions provides comprehensive revenue analytics and claims management services with no need to work in separate applications. However, this solution is clearinghouse-agnostic.


Automate the Appeals Process

Once Advanced Reimbursement Manager finds the error, a formatted appeal letter can be generated with supporting documentation and made available for mailing. Take automation one step further and let us mail the appeal for you.


Additional Denials Management Services

Every feature that I use from TriZetto Provider Solutions products I enjoy. The billing software has made my processing easier and the support staff at TPS are always amazing. Thank you for all that you do.

Recovering from the Denial - Webinar

With shrinking payments and smaller margins, effective claim management and reducing the number of denials received in your office is more important now than ever. Join TriZetto Provider Solutions, HBMA and Amy Redmond, CHBME, Vice President of Revenue Integrity Innovative Healthcare Systems, Inc. for an informative recorded webinar on recovering from denials.

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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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