today announced that its TriZetto Provider Solutions (TPS) business unit has launched
its paperResolve™ solution, which automates the posting of paper explanation of
benefits (EOB) forms. The system applies a variety of automation technologies
to the originating paper; generating EDI 835 ERA (electronic remittance advice)
files for electronic posting into patient account systems, saving providers as
much as 60 percent in processing costs per claim based on typical client
Posting paper payments
and EOBs manually can be a slow and tedious process, costing $1.77 more per-transaction
than electronic 835 remittance files1. This time-consuming process also
can result in costly mistakes from incorrectly entered information. With the paperResolve
solution, practices can simply scan paper EOBs and the data is automatically
and accurately converted into an electronic format, reducing staff time and greatly
reducing the possibility of error from manually rekeying data, thereby helping practices
secure reimbursements more quickly.
Solutions developed its paperResolve solution in partnership with Orbograph, a premier supplier of healthcare payment automation
solutions. The highly efficient and cost-effective paper conversion
platform integrates with TPS’ eobResolve® contract compliance solution.
technology goes beyond traditional EOB conversion tools to reduce the
likelihood of errors, and more easily adapt to different formats and frequent
changes in payer EOBs forms,” said Lori Logan, Senior Vice President with
TriZetto Provider Solutions. “By streamlining the process of converting paper
forms into electronic data, providers can decrease administrative burden and
Using a unique blend of
automated EOB layout adaptation, optical character recognition, and specialized
quality control processes, paperResolve reads all EOB remittance information
necessary to create an EDI 835 output file from the scanned image of paper
EOBs. The system can then customize output for specific reporting requirements using
EDI 837 claim information. Clients with eobResolve can also input payment
information to audit and reduce contract payment shortages.
Solutions’ paperResolve also enables physician groups to:
payment information securely and electronically for easy search and retrieval.
and store relevant data from paper-based patient payments and payer
correspondences in a secure electronic database.
additional electronic remittance advice files, which enable the practice to uncover
denials and provide payers reimbursed claims according to the practice’s
addition to creating more efficiency with revenue management, paperResolve enables
the physician groups to analyze all remittances and payments for a more robust auditing
process,” added Logan. “The practice is automatically alerted if they
experience recurring shortages in payer reimbursements, such as a payer failing
to pay claims in accordance with their provider contract. Adding EOB
information into this process completes the payment cycle in addition to the ERAs
To learn more about
paperResolve, request a demo by calling (800) 753-3638 or emailing firstname.lastname@example.org.
About TriZetto Corporation
TriZetto Corporation 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 245,000 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.
(www.orbograph.com), a subsidiary of Orbotech, is a premier supplier of
electronic/paper automation solutions in healthcare revenue cycle
management (RCM) and recognition software for the U.S. check and lockbox
processing markets. Orbograph technologies are in use in over 1,600
financial institutions, service bureaus, clearinghouses and billers
processing billions of checks and claims annually. The cloud-based
Healthcare Payments Automation Center (HPAC) is “Enabling Transformation
of Healthcare Payments” by converting paper-based EOBs, correspondence
and patient payments, normalizing ANSI X12 EDI 835 remittance advices
and reconciling EFT/ACH payments to ERAs via reassociation. HPAC
automates posting of receivables into patient accounting systems and
hospital information systems, achieving straight-through processing
levels of efficiency. Orbograph recognition technologies are “Enabling
Transformation of the Check Experience” in 20 of the top 30 U.S.
financial institutions with in-house check processing.
1. 2013 CAQH Index™, May 5, 2014 revision, www.CAQH.org