Trizetto Healthcare: Comprehensive Services for the Healthcare Industry

Service Portfolio

1. End-to-End Payment Solutions

• Revenue cycle management
• Claims and remittance management
• Eligibility verification
• Claim appeals and resolution
• Medical billing
• Payment posting and reconciliation

2. Care Management Solutions

• Disease management
• Patient engagement
• Utilization management
• Case management
• Population health management
• Value-based care analytics

3. Provider Credentialing & Enrollment

• Provider data management
• Credentialing and enrollment verification
• Payer enrollment and contracting

4. Real-Time Benefit Verification

• Medicare-mandated eligibility verification
• Patient balance estimation
• Coinsurance, copay, deductible details
• Benefit limits

5. Patient Engagement Solutions

• Patient portals
• Secure messaging
• Bill payment options
• Appointment reminders
• Personalized health information

6. Healthcare Analytics

• Business intelligence and reporting
• Predictive modeling
• Performance measurement
• Benchmarking
• Cost analysis

7. Consulting Services

• Healthcare, IT, financial, and data analytics consulting

8. Compliance Solutions

• HIPAA compliance
• Meaningful Use compliance
• ICD-10 coding
• Medicare Advantage and Part D compliance

9. Customer Support & Training

• 24/7 customer support
• Online support portal
• Webinars and training sessions
• Educational resources

10. Interoperability Solutions

• APIs and integration services for healthcare data exchange
• Standards-based communication protocols