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Healthcare providers today are looking for effective ways to reduce administrative costs and improve efficiency. Payer organizations that wish to maintain strong, positive relationships with providers can help providers meet these objectives by supplying Web-based tools that streamline providers' administrative processes. Online self-service capabilities not only reduce costs and headaches for providers, but they also deliver powerful benefits to payers.
The TriZetto Provider Service application is a win-win solution for providers and payers. This proven Web-based solution enables providers to conduct a wide range of self-service transactions and inquiries in a secure online environment. Capabilities include: checking member eligibility, reviewing benefit summaries and product details, reviewing claim status, submitting referrals, logging pre-authorization for inpatient and outpatient services, and submitting medical claims.
The Provider Service application is fully integrated with the TriZetto FacetsŪ core administration platform, so providers have direct access to the most current information available and can enter new information directly into the Facets database.
The Provider Service application is a part of TriZetto's Constituent Web Solutions, a comprehensive set of e-business applications designed to enable key health-plan constituents to perform real-time transactions.
Benefits:
- Increases provider satisfaction
- Improves data accuracy
- Reduces telephone calls
- Reduces administrative labor and costs
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Information
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For more detailed information, please call 1-800-569-1222 or click on the link below.
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