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

TriZetto Provider Solutions®, a Cognizant Company

As a Cognizant Company, TriZetto Provider Solutions leverages industry-leading products and services that help simplify revenue cycle management for healthcare practices. Our comprehensive solutions cover billing, analytics, appeals, clinical integration, digital patient engagement and more. These tools, combined with our collective expertise in healthcare technology, simplify the business of healthcare for clients of various sizes and specialties. Combined with our Heart for Service philosophy that guides us to provide the best service possible, we are investing in the tools and teams needed to help our clients succeed in 2021 and beyond.

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.

Product lines we integrate with:

CGM eMDs
CGM LYTEC
CGM MEDISOFT
CGM PLUS
CGM PRACTICE PARTNER
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