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Healthcare reform is changing the way payers and providers interact. The Patient Protection and Affordable Care Act (PPACA) in particular requires a new level of efficiency in the transactions between payers and providers. To comply with PPACA, payers and providers need leading edge connectivity solutions that will foster higher levels of collaboration and communication. That’s where TriZetto can help.
Together TriZetto and its wholly owned subsidiary, GatewayEDI, are developing a real-time payment assurance solution that provides a new level of connectivity by providing benefit and payment information from the payers’ core administrative system to the providers practice management system. This solution transforms today’s payment processing from batch to real-time communications, dramatically reducing expenses for both payers and providers.
With TriZetto’s solutions for greater connectivity, payers and providers can reduce costs and improve the delivery of care in many ways. TriZetto connectivity solutions enable payers to:
Providers can use TriZetto connectivity technology to help them:
Our world-class services include application hosting and management, business process services, and consulting. TriZetto’s application hosting and management are delivered via cloud technologies to give clients flexible and scalable business services. Our global team of experienced professionals possesses deep knowledge of both the healthcare industry and TriZetto solutions, helping clients solve their unique business challenges and achieve results more quickly.
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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.