Payer-Provider Connectivity

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  • Increase efficiency and compliance with TriZetto payer-provider solutions.

    Healthcare reform is changing the way payers and providers interact. The Patient Protection and Affordable Care Act (PPACA) in particular requires a new level of efficiency in the transactions between payers and providers. To comply with PPACA, payers and providers need leading edge connectivity solutions that will foster higher levels of collaboration and communication. That’s where TriZetto can help.


    Together TriZetto and its wholly owned subsidiary, GatewayEDI, are developing a real-time payment assurance solution that provides a new level of connectivity by providing benefit and payment information from the payers’ core administrative system to the providers practice management system.  This solution transforms today’s payment processing from batch to real-time communications, dramatically reducing expenses for both payers and providers.

    Get leading technology for greater collaboration and communication.

    With TriZetto’s solutions for greater connectivity, payers and providers can reduce costs and improve the delivery of care in many ways. TriZetto connectivity solutions enable payers to:

    • Reduce operating expenses.
    • Minimize calls from physicians about claims.
    • Improve first pass rates and reduce rework.
    • Improve provider satisfaction.
    • Authorize care more efficiently.

    Providers can use TriZetto connectivity technology to help them:

    • Count on more efficient and accurate payments, and fewer bad debts.
    • Reduce the cost of claims processing and related administrative expense.
    • Increase FTE production.
    • Deliver care more promptly and with fewer delays.


  • TriZetto Services

    Our world-class services include application hosting and management, business process services, and consulting. TriZetto’s application hosting and management are delivered via cloud technologies to give clients flexible and scalable business services. Our global team of experienced professionals possesses deep knowledge of both the healthcare industry and TriZetto solutions, helping clients solve their unique business challenges and achieve results more quickly.