Successful growth starts with innovation. Together with NextGen, TriZetto Provider Solutions integrates cutting-edge technology and customer focused services with an in-depth industry knowledge. We provide complete revenue cycle management to empower our clients to succeed.
It’s time to experience a new way to manage your revenue cycle.
The numbers don’t lie.
Years of Strategic Alignment
Mutual Providers
Specialties
Electronic claims acceptance rate
Simple solutions make the difference
Reduce claim rejections and denials. Connect with thousands of payers to validate coverage, deductibles, co-pays and more.
Boost revenue and patient satisfaction. Provide clear, concise explanations of what is owed paired with convenient digital payment options.
Streamline claim submissions. Quickly and accurately transmit professional, institutional, dental, workers compensation claims and more for fast reimbursement.
Standard & Advanced Alerts
Identify revenue recovery opportunities. Integrated functionality brings powerful, actionable data directly into your system.
Reduce tedious manual processes. Our automated solutions can cut administrative time and money spent reconciling remits, checking claim status and converting paper EOBs.
Designed to boost earnings and remove administrative hassles, our tools help physicians, hospitals and health systems receive accurate payments from payers and make intelligent billing decisions.
A faster route to enrollment. Streamline the credentialing process and prevent lags in payment due to un-earned or expired credentials.
Powerful business intelligence. Contract compliance solutions measure the payment accuracy of payer negotiated contracts—making it easy to identify underpaid professional and institutional claims, monitor billing rework and evaluate the cost of doing business with a payer.
