Give providers real-time claims payment information at the point of service and increase provider satisfaction.
The TriZetto Provider POS Direct solution calculates patient financial liability and adjudicates claims at the point of service. With this valuable tool, providers can collect full payment at the time services are rendered—or, in some cases, even before the patient’s visit—rather than days or weeks later. That means providers get immediate payment and members get no surprise costs.
The Provider POS Direct solution gives providers online access to the payer's core administration system in order to update, submit or view relevant data. The provider's staff can use the application to submit transactions in real time when scheduling appointments or when the patient is checking in or out. This can be accomplished via standard Web browser or EDI.
With Provider POS Direct, payers can:
- Increase administrative efficiency by reducing call volumes from members and providers, and by reducing pended/rejected claims that require manual intervention.
- Improve member and provider satisfaction and reduce the cost of churn.
- Reduce the cost of care by incenting providers to offer better discounts when negotiating contracts.