Improve your clean
claim percentage
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.
Claim errors
may drop to
1%
or less*
*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
Highlighted Resources
Leveraging an advanced machine learning model to provide deeper insights into potential denials.
See how clearinghouse services from TPS scaled with this organization as they experienced 400% growth.
Streamline the discovery and recovery of denied and underpaid claims by automating manual, tedious processes.
An integrated solution that provides real-time edits and improves clean claim rates.