TriZetto Provider Solutions® seamlessly blends claims processing with revenue management and analytics software so you can get paid faster, and more accurately.

Confident Billing. Faster Payments. More Informed Decisions.

Successful billing and payment processes are vital to a healthy bottom line. Put the power of TriZetto Provider Solutions and eMDs to work for your practice so you can collect what you’re owed, quickly and accurately. The deep integration between eMDs and TriZetto Provider Solutions efficiently adds functionality to your practice. Now you can gain clear insight into the claim lifecycle and take the right steps to improve the overall health of your practice.


Industry-leading innovation in Revenue Cycle Management, Advisory Services and Analytics Software 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.

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Key Benefits

Claims

With direct connections to thousands of payers, our electronic claims, paper claims and secondary claims solutions simplify the submission and remittance process.

Denials & Appeals

Use remittance data and payer rules to understand the reasons for costly denials, prioritize opportunities for appeal and automatically generate appeals.

Patient Access & Payments

Reduce the risk of costly rejections and set appropriate financial expectations with patients at or before the time of service. Offer convenient payment options to patients and collect payer payment quickly and easily.

Contract Management

Identify and appeal underpayment/overpayment and compliance issues using actual fee schedules. Model new fee schedules to assess the impact of proposed changes.

What product lines we integrate with

Solution Series
Lytec
Medisoft
Plus