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Contract Management
Marketplace > TriZetto Provider Solutions™ Revenue Analytics

TriZetto Provider Solutions™ Revenue Analytics

On average, 9% of commercial claims and 1% of Medicare claims are paid incorrectly1. Revenue Analytics from TriZetto Provider Solutions helps you avoid leaving money on the table, reduces administrative hassles, and provides greater transparency into payer performance. We monitor transactions, identify errors and underpayments, and automate the appeals process – saving your staff hours of time.

  • Analyzes payer agreement and identifies underpayment
  • Generates appeal forms and paperwork, and tracks the dispute
  • Delivers reimbursement intelligence, including contract modeling

1 2013 AMA National Health Insurer Report Card

  • Details
    • Capability

      Contract Management

      Requires integration with

      athenaCollector®

      Our solutions seamlessly integrate into athenaCollector®, handling file transfers and processing on a daily basis automatically, without the need for manual effort.

      Contract Management

      Monitor every transaction, identify errors and underpayments, and automate the appeal process to save your staff hours of time. No more manual checking – eobResolve helps track and reclaim missing revenue, and reduces the number of future errors by identifying common errors and payer trends.

      Contract Modeling

      Using cutting-edge business intelligence, contractResolve reduces unaddressed payer contract risks using your payer’s own claim rules. With our highly accurate contract analysis engine, you can analyze real and hypothetical contract performance, and build and compare current versus proposed fee schedules.

      Visit www.trizettoprovider.com.

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