Improve your clean
Rejection and Denial Prevention
AI powered denial defense. Fitting in with a practice’s claim management workflow, our claim editing solution combines claim scrubbing for coding type denials, a check for eligibility coverage and our machine learning-based denial prediction solution to prevent claim denials before submitting to the payer.
With our solutions, you can:
- Implement cutting edge technology to improve accuracy and minimize errors
- Identify potential denials with automated eligibility, coding and machine learning edits to secure proper reimbursement
- Reduce administrative costs and back-end work through proactive intervention
- Increase speed-to-payment by submitting cleaner claims.
may drop to
*Based on client data. Results may vary.
“We have been with TriZetto Provider Solutions for well over 10 years. They are a life saver for me because they make my job easier. ”
– Maria Colon, Mobile Life Support Services
See how clearinghouse services from TPS scaled with this organization as they experienced 400% growth.
An integrated solution that provides real-time edits and improves clean claim rates.