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What is TriZetto?

Accelerate payment procedures while reducing administrative burdens. With a network of over 8,000 payer connections and partnerships with more than 650 practice management providers, our claims management solutions significantly decrease the number of pending claims and lessen the reliance on manual processes. Claims for a wide range of services, such as professional, institutional, dental, and workers' compensation, can be sent efficiently and accurately, ensuring timely reimbursements. Address the changing landscape of healthcare consumerism by providing a seamless and transparent financial experience for patients. Our tools for patient engagement help facilitate informed conversations about eligibility and financial responsibilities, while also minimizing barriers that could negatively impact patient outcomes, ultimately enhancing the overall healthcare experience. By improving transparency and communication, we contribute to a more patient-centered approach in the healthcare industry.

What is EDEXLite?

Obtaining precise patient information can prove to be quite difficult when submitting a claim to an insurance provider, particularly if you want to achieve a favorable result on your initial submission. Our service provides clients with a secure means to request and receive summary data associated with Workers' Compensation Appeals Board (WCAB) cases via electronic transmissions. We offer a secure user platform that effectively coordinates data between the WCAB and end users utilizing a relational database system. This service is designed for a diverse array of stakeholders, including insurers, employers, attorneys for both defense and applicants, medical professionals, interpreters, and other ancillary service providers, alongside individuals outside the Workers' Compensation insurance sector. With our tailored portal, users can conveniently access vital information such as demographic details of patients, information on injuries, and the involved parties in various cases. Inquiries can be performed using either the Social Security Number or the WCAB Case Number, which simplifies the retrieval of the required data. This efficient access not only improves workflow but also significantly reduces delays in the claims process, ultimately benefiting all parties involved. By streamlining information retrieval, we ensure that users can focus on delivering timely solutions.

Media

Media

Integrations Supported

Vetriq

Integrations Supported

Vetriq

API Availability

Has API

API Availability

Has API

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Pricing Information

Pricing not provided.
Free Trial Offered?
Free Version

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Supported Platforms

SaaS
Android
iPhone
iPad
Windows
Mac
On-Prem
Chromebook
Linux

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Customer Service / Support

Standard Support
24 Hour Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

TriZetto

Date Founded

1983

Company Location

United States

Company Website

www.trizettoprovider.com

Company Facts

Organization Name

EdexCloud

Company Location

United States

Company Website

www.edexcloud.com/edex.html

Categories and Features

Credentialing

Appointment Management
Certification Tracking
Committee Management
Document Management
Expiration Management
License Verification
Online Applications
Privileging

Patient Engagement

Appointment Scheduling
Care Planning
Collaboration
Messaging
Mobile Access
Patient Education
Patient Portal
Personal Health Record
Progress Tracking
Self Management

Revenue Cycle Management

Accounts Receivable
Claims Management
Collections Management
EHR/EMR Integration
For Healthcare
ICD-10 Compliance
Insurance Verification
Medical Billing
Patient Portal
Patient Registration
Patient Scheduling
Payment Processing

Categories and Features

Electronic Data Capture

Audit Trail
CRF Tracking
Data Entry
Data Verification
Distributed Capture
Document Imaging
Document Indexing
Forms Management
Remote Capture
Study Management

Electronic Medical Records (EMR)

Appointment Management
Charting
Compliance Tracking
E-Prescribing
E/M Coding
HIPAA Compliant
Handwriting Recognition
Integrated Telehealth
MIPS Certified
Meaningful Use Certified
ONC-ATCB Certified
Patient Portal
Self Service Portal
Voice Recognition

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