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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 Inovalon Insurance Discovery?

Insurance Discovery improves financial results by identifying previously overlooked billable coverage that healthcare providers might not know about, which reduces both underpayments and uncompensated care. Utilizing sophisticated search capabilities, this tool can uncover situations where patients have multiple active insurance payers, thereby enhancing the potential for better reimbursement. Moreover, it aids in avoiding reimbursement delays and speeds up revenue collection by ensuring that claims are accurately directed to the correct payers on the first submission, attributed to more precise coverage information. When combined with verified demographic data, Insurance Discovery offers dependable insights into coverage and eligibility. This innovative method replaces conventional manual insurance discovery processes with a rapid and exhaustive search that accesses numerous databases within seconds, providing comprehensive and precise coverage details. Additionally, it improves the overall experience for patients and residents by allowing for accurate assessments of out-of-pocket costs, leading to a more positive financial journey. By simplifying these procedures, healthcare providers can devote more attention to patient care rather than getting bogged down by administrative duties, ultimately enriching the quality of service delivered.

Media

Media

Integrations Supported

Inovalon Provider Cloud

Integrations Supported

Inovalon Provider Cloud

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

Inovalon

Date Founded

1998

Company Location

United States

Company Website

www.inovalon.com/products/provider-cloud/patient-access/insurance-coverage-discovery/

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

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