Healthcare reform legislation has compelled payer organization to intensify the search for effective solutions to reduce administrative costs and streamline operations. One area of high cost and complexity involves the routing of electronic transactions to and from the payer. Most health plans today operate multiple connections to providers, EDI vendors and other trading partners that, in turn, route claims and other transactions. Managing the multitude of connections, ensuring regulatory compliance of the transactions and keeping connections up to date is not only costly and time-consuming, but also a diversion of payers’ IT resources from strategic priorities.
TriZetto offers an EDI management and provider Trading Partner Solution for healthcare payers. This cloud-based service enables real-time collaboration with healthcare providers, streamlines administration for both health plans and providers, supports new models of care delivery and addresses regulatory requirements for electronic transactions. TriZetto’s extensive connectivity and cloud-enabled technology platform solution provides the following benefits:
The TriZetto Trading Partner Solution enables real-time collaboration with payers and providers, supports regulatory requirements for electronic transactions, supports new models of care, and streamlines administrative costs throughout the payer-provider ecosystem.
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TriZetto provides leading healthcare information technology for payers and providers. From claims processing and advanced network management to case management solutions and HIPAA Compliance with 5010 implementation, TriZetto healthcare technology management solutions help reduce costs, streamline administration and improve the quality of care. TriZetto’s network management services help payers improve provider network management with tools for contract modeling, claims pricing, payment bundling and more. And TriZetto solutions give healthcare organizations the ability to achieve compliance with ICD-10 and 5010 HIPAA regulations more easily and cost-effectively.