Electronic Authorizations

Submit Prior Authorizations and Referrals Faster and More Efficiently.

Electronic Authorizations from TriZetto Provider Solutions streamlines the process of requesting a Health Care Services Review by reducing administrative costs and manual paper-based processing. Providers will seamlessly receive the response by leveraging the HIPAA covered 278.

With Electronic Authorizations, you’ll be able to:
  • Facilitate real-time prior authorizations
  • Fax the certified response directly from the TriZetto Provider Solutions’ portal
  • Save work in progress and resume at a later time
  • Support four request types:
    • Admission certification
    • Home healthcare authorization
    • Specialty care referral
    • Outpatient authorization

Save up to 15 minutes per transaction. Realizing an average overall cost savings of $5.50 per transaction.

If you have connectivity to multiple payers, you will now be able to stay in workflow longer and reduce the amount of time spent manually working with payers.


Additional Patient Access 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.

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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