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and efficiency

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Clearinghouse Services

Improve provider engagement and collaboration. TPS can help you stay on top of mandates, increase efficiency and provide a better member experience. Built on the strong foundation of TriZetto® Healthcare Products, we work directly with payers to achieve high auto-adjudication rates. Utilizing our innovative solutions results in fewer pended claims and less manual intervention, which adds tremendous administrative cost savings. Our investment provides high value to our provider and payer clients—resulting in a 98% customer retention rate.

With our solution, you can:

  • Process claims in less time with fewer rejections
  • Reduce provider abrasion with first-time claims payment accuracy
  • Benefit from widespread connectivity with 650 EHR and practice management systems
  • Directly connect with other clearinghouses and trading partners

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98.9%

first pass rate

The numbers don’t lie.

27
340
K+

providers

0
650

PMS/EHR integrations

0
8
K+

payers

0
2.5
B

transactions annually

0
25
+

clearinghouse trading partnerships

0
200
K+

trading partners

Maximize connectivity to your providers

Leverage extensive assets and technology platforms to efficiently and cost-effectively manage connections between the health plan and your providers.

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