Reduce costs with improved health insurance claims processing.Health insurance claims processing is a central to the business success of healthcare payers. When claims are poorly processed, it can lead to higher costs, administrative inefficiency, lower productivity and difficult relationships with providers. On the other hand, when health insurance claims processing works well, payers can count on significant cost reductions, lower MLR and greater profitability. Superior claims processing software can help payers manage health insurance claims more accurately and efficiently. For payers seeking a leading claims processing system, TriZetto provides many options.
Learn more about TriZetto’s health insurance claims processing solutions.
TriZetto gives payers more solutions for health insurance claims processing.
TriZetto, a leading healthcare IT provider, delivers leading-edge solutions for payers that can help improve the speed and accuracy of health insurance claims processing to reduce costs and improve profitability. TriZetto Facets™ and QNXT™ products, two core administration solutions, bring greater automation and efficiency to health insurance claims processing by streamlining operations and enabling information to move seamlessly across a payer’s network. The Facets Workflow™ application, an integrated application for the Facets platform, improves health claims processing by automatically balancing the workloads of employees handling claims, ensuring that insurance claims are processed more accurately and in a timelier manner. TriZetto Qiclink Extended Enterprise™ (Qiclink e2) solution, an enhanced version of the popular benefits administration software engine, gives benefits administrators the power to process claims more quickly through high-speed automation.
BPO services for processing medical claims.
For payers interested in outsourcing health insurance claims processing, TriZetto provides business process outsourcing (BPO) services that can handle large pieces of the claims process. Many of TriZetto’s current BPO clients have achieved as much as 40 percent in cost reductions for health insurance claims processing by outsourcing services. BPO offerings include claims administration services that enable payers to scale up quickly to accommodate peak periods in claim volume and to save money and avoid employee downsizing during slow periods. Front-end services include a variety of claims processing tasks that can help improve auto-adjudication rates, improve first-pass rates, minimize claims rework and speed the turnaround time for processing health insurance claims. Flexible delivery models allow payers to outsource tasks on an ongoing or as-needed basis, and to scale as needed to accommodate business growth.
Learn more now about health insurance claims processing solutions from TriZetto, as well as for health insurance incentives, Medicare solutions, patient centered medical home solutions, and more.
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