For Medicare plan administrators, the end of the month brings a familiar and frustrating challenge: reconciling membership data. Each month, you must compare your Part C and Part D membership data with the information supplied by CMS and identify and resolve discrepancies—some of which are likely to be significant. Reconciling discrepancies is costly. It takes time and labor to resolve these issues. Those discrepancies not effectively resolved can have an adverse impact on revenue. Fortunately, TriZetto has an answer.
TriZetto® medicare solutions can simplify reconciliation with a proven suite of solutions. TriZetto’s suite of financial reconciliation solutions makes reconciliation faster and more efficient by organizing your work processes and improving workflow. The suite includes:
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TriZetto provides healthcare organizations with comprehensive IT solutions for core administration, healthcare analytics, care management, value-based insurance design, healthcare IT consulting and more. TriZetto’s leading claims processing system helps reduce costs and improve processing speed, while TriZetto’s network management application provides sophisticated tools for contract modeling, claims pricing and payment bundling. TriZetto’s care management solutions integrate clinical analytics into physician workflow more effectively. And TriZetto’s healthcare IT outsourcing services enable organizations to reduce costs and focus on critical business objectives.