TriZetto Provider Solutions,
which encompasses Gateway EDI, ClaimLogic and NHXS, announced that clients can
begin testing their 5010 professional claims for ICD-10 readiness beginning on
October 15, 2013, nearly a year in advance of the ICD-10 implementation
deadline. Claims testing will be a critical step as providers prepare their
practices to transition to ICD-10, and will help providers reduce the risk of
payment delays once ICD-10 takes effect.
Clients can begin testing 5010
professional claims on October 15, 2013, and 5010 institutional and dental
claims on December 1, 2013. 4010 claims, print image claims and NSF
professional claims can be submitted beginning December 31, 2013. Unlike most
clearinghouses, TriZetto Provider Solutions will continue to accept inbound
claims in various pre-5010 formats and will convert them to the ICD-10
compliant version. In order to convert these claims, physician offices must
send the necessary ICD-10 code along with their pre-5010 formatted claims.
“We’ve taken a very strategic, planned
approach to our ICD-10 testing to provide that all of our clients, regardless
of their claims file types, receive dedicated time and attention from our
team,” said Chris Hunter, senior vice president and provider
market president at TriZetto. “This staggered testing rollout will enable us to
give our clients time to test their claims, identify errors and modify their
processes in an effort to be ICD-10 compliant.”
In addition to testing provider claim
files, TriZetto Provider Solutions helps providers manage the ICD-10 transition
with practice management software vendor and payer testing. The company also
offers educational resources and a dedicated team of knowledgeable EDI
specialists to provide heightened client support. The ICD-10Insight website
serves as a one-stop resource for important information about the transition,
including frequently asked questions, videos, webinars and news updates.
“The move to ICD-10 is
one of the biggest business challenges for the healthcare industry in our
lifetime. These challenges, combined with all of the complexities of care
delivery, can be overwhelming,” said Dr. Jeffrey Rose, chief medical
information officer at TriZetto Provider Solutions. “While testing claims is an
essential step in the ICD-10 transition process, TriZetto Provider Solutions is
committed to supporting our clients through this critical change. We encourage
providers everywhere to begin preparing for ICD-10 now to avoid negative
impacts to their business.”
To help all providers
navigate ICD-10, TriZetto Provider Solutions offers a free ICD-10 Implementation Planning
includes a list of preparation steps and suggested timeline for transitioning
to ICD-10. Providers can also find other helpful ICD-10 resources at www.gatewayedi.com/icd10.
About TriZetto Provider Solutions
TriZetto Provider Solutions serves more than 200,000 providers across the country, equipping physicians, hospitals and health systems with the tools and information they need to simplify business processes and get accurate payments quickly. TriZetto Provider Solutions is built on the combined technology and experience of Gateway EDI, NHXS and ClaimLogic, and plays an important role in driving greater collaboration between providers and payers.
About TriZetto Corporation
TriZetto provides world-class information technology and service solutions that help payers and providers work more efficiently and collaborate to deliver better health. TriZetto solutions touch over half the U.S. insured population and reach more than 200,000 care providers. TriZetto helps healthcare organizations enhance administrative efficiency; improve the cost, quality and delivery of care; address compliance; and compete to win in an emerging retail market. Payer solutions include benefits administration, care management, network management and portal platforms, as well as consulting, application management and business management services. Provider solutions include real-time eligibility assurance, claims editing, revenue cycle management technology and services that help providers get paid quickly and accurately. For more information, visit www.trizetto.com.