The data exists.
Enable the access.
TriZetto Provider Data Access
Payer data has always lived just out of reach — locked in portals, requested one payer at a time, arriving after the decision that needed it. TriZetto® Provider Data Access closes that gap by retrieving a patient’s prior encounters, medications, diagnoses and procedures directly from the payer, into the EHR the provider already uses.
Prior authorizations stall on documentation only the payer holds. Clinical data exchange stays manual instead of continuous. Care gaps go unnoticed because a patient’s history sits with a payer the provider can’t easily reach.
TriZetto Provider Data Access replaces the one-payer-at-a-time model most connectivity solutions require with a single integration point, built on TriZetto’s existing payer relationships. As more payers connect, every provider’s reach grows with it.
This is data access for providers, engineered so care teams can anticipate what a patient needs and act on it, fast.
One connection that replaces payer-by-payer integration work
A payer network that grows more valuable, automatically
Patient history, available directly in the EHR
Learn how
Easily retrieve previous diagnoses, specialists visited, any recent hospitalizations and prior procedures.
Gain insight into a patient’s current medications, any existing chronic conditions and recent hospital admissions.
Learn from payer’s claim history to understand recent tests performed on a patient, like MRIs or X-rays.
Leverage a payer’s patient data to determine if a service was previously authorized, if a request was denied and the reason for the denial.
Highlighted Resources
HL7® and FHIR® are the registered trademarks of Health Level Seven International and their use of these trademarks does not constitute an endorsement by HL7.