MGMA18 | The Annual Conference Exhibit Hall

TriZetto Provider Solutions, a Cognizant Company

  • Booth: 908

TriZetto Provider Solutions®, a Cognizant company, is a business unit within Cognizant’s healthcare practice, serving over 33,000 practices and reaching more than 300,000 care providers. Industry-leading innovation in Revenue Cycle Management, Advisory Services and Robotic Process Automation make TriZetto Provider Solutions the premier partner of forward-thinking healthcare organizations. Our software solutions and business process services help organizations run better by realizing new levels of performance and efficiency; and run differently by harnessing the power of new digital business capabilities to enrich the patient experience.


 Products

  • eobResolve+
    Identify Top Denials and Frequent Underpayments.
    ...

  • 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.

  • Revenue Cycle Management Services
    We simplify the complexity of your billing and revenue management process by coupling a robust solutions platform with our experienced, knowledgeable billing professionals, freeing you to focus on your patients and growing your practice....

  • We have hundreds of associates, including CPC/AHIMA certified and AAPC certified professional coders, to help clients across medical coding, billing and corrections, A/R management and patient billing, denial management and appeals.

    We'll provide you with information and reporting so you can monitor your performance at your convenience, enabling you to focus on your patients.
  • Denials Management
    Denied Claim Analysis, Appeal Automation. Use remittance data and payer rules to understand the reasons for costly denials, prioritize opportunities for appeal and automatically generate appeals.
    ...

  • Advanced Reimbursement Manager

    Comprehensive Denials Management to Easily Find Your Missing Revenue.

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


    • Monitor transactions easily
    • Identify common errors and payer trends
    • Eliminate manual inspection of individual payments

    Integration with TriZetto Provider Solutions claims management clearinghouse means you have revenue analytics and claims management all in one – no need to work in separate applications.

    Automate the Appeals Process

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

  • Credentialing
    Whether your practice needs to be credentialed for the first time or you need re-credentialing assistance, you can trust our experienced team to gather, validate and confirm each piece of critical data in the credentialing process....

  • 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.

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