Successful growth starts with innovation. Together with eClinicalWorks, 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.
Partners since
providers
practices
TPS acceptance rate
payer acceptance rate
99% Club members
claim submissions
claims processed
“Using eClinicalWorks and TriZetto Provider Solutions together maximizes the utilization of both systems. They really work together and it helps us on the back end tremendously. ”
– Sarah Potter, CarePoint Health, New Jersey
Simple solutions make the difference
Reduce claim rejections and denials. Connect with thousands of payers to validate coverage, deductibles, co-pays and more.
Set payment expectations. Improve patient satisfaction with pricing transparency and collect more upfront with point-of-service financial estimates.
Lessen the burden on staff and patients. Our automated solution can reduce the approval process to minutes.
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.
Avoid claim resubmissions. Run claims through extra layers of edits to quickly identify problems and correct errors before they are submitted to payers.
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.
Maximize revenue recovery. Efficiently and effectively monitor every transaction to identify errors and automate the appeal process.
A faster route to enrollment. Streamline the credentialing process and prevent lags in payment due to un-earned or expired credentials.
In-depth data and enhanced insight. Our robust analytic tools bring the ability to easily drill down and manipulate data for increased visibility into your revenue cycle.
Highlighted Resources
Powerful integrations and exclusive packages enable more confident billing, faster payments and more informed decisions.
A regional health system achieved 39% revenue increase year over year with the Enhanced Integrated Services Package.