TriZetto Provider Solutions^® combines a powerful and proprietary analytics solution with a team of specialists who work behind the scenes to identify and appeal the underpayments and incorrectly denied claims impacting your organization.

If you’re already familiar with our eobResolve product, you know that it’s a proven analytics engine that helps you identify denials and underpaid claims so that you can more easily appeal and recover lost revenue.

What makes eobResolve+ different is that instead of tasking your already busy team with the time-consuming task of chasing these underpayments and denials, TriZetto Provider Solutions provides a team of specialists who operate behind the scenes to manage the work on your behalf. Using your data and our software, our team runs your reports, identifies problem areas and submits appeals for you, collecting more recovered revenue.

Your organization is freed to focus on more pressing responsibilities.

Our trained staff of credentialing professionals knows the intricacies of gathering the right information for each insurance company, and how to follow up so that details don’t get missed:

• Online forms submitted and confirmations tracked
• Completed, printed packages sent to your staff for mailing to payers requiring mailed submissions
• Continuous follow up with each payer to provide you with ongoing status updates

Let our professionals help capture revenue previously written off due to high “Days in Enrollment” and free up your personnel to focus on other high-value activities for your organization.