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Why We're Better for Health Systems

Billing, reimbursement and claims processing is a complex process for health systems – and one that will only increase in intricacy as new payment models are implemented. TriZetto Provider Solutions™, formerly ClaimLogic, understands that you need a strong partner to simplify your revenue cycle management, so you can get paid quickly and accurately, while reducing administrative hassles.

TriZetto Provider Solutions is the trusted revenue cycle management partner for many of the largest and most respected health systems in the United States. Our tools track claims performance; identify opportunities to help maximize your revenue, automate claims and billing processes; reduce the number of days claims spend in accounts receivable and save staff time and frustration. 

We offer a single system that manages both institutional claims and professional claims, bringing all claims data together in one place. This enables robust reporting capabilities that support better patient population management and give you healthcare business intelligence to make smart financial decisions.

The TriZetto Provider Solutions series of revenue cycle management tools is preparing health systems for the new era of healthcare through:
  • Integrated claims processing. With refined workflow, you can process both institutional claims and professional claims across multiple platforms in one easy-to-use system.
  • Proven success. Typically, TriZetto Provider Solutions clients average a 99% first-time, clean claim acceptance rate, which promotes faster payments and improved staff productivity.
  • Customizable solutions. TriZetto Provider Solutions can customize tools to fit within your existing workflow.
  • Powerful data mining tools and analytics. Tools aggregate data from institutional claims and professional claims to provide the information you need to make better business decisions.
  • Dedicated customer support. A personal, experienced client advocate will be assigned to serve as your go-to person. They know your business and its specific revenue cycle management needs.
  • Payer collaboration. Leveraging strong relationships with hundreds of payers nationwide, TriZetto Provider Solutions acts as your liaison to resolve claims issues on your behalf.