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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 InsightPro.ai?

InsightPro serves as an online tool tailored for workforce analytics and operations, specifically targeting health insurance payers, third-party administrators, benefit administrators, and health plans. It streamlines claims management, quality assurance, and the support of member contact-center teams. The claims management features include inventory tracking, task assignment and distribution, production planning, forecasting capabilities, KPI dashboards, activity monitoring, and query resolution functionalities. Quality assurance teams benefit from tools that allow for customizable audits, sampling techniques, capacity planning, error feedback systems, rebuttal workflows, and performance reporting capabilities. The platform enhances contact-center operations through member and call history access, customizable workflows, real-time data insights, and performance metrics. Furthermore, workforce dashboards provide managers with the ability to monitor productivity levels, workload distribution, quality metrics, and overall operational trends, while user and workflow management tools simplify administrative tasks. As a Software as a Service (SaaS) offering, this platform can be tailored to meet the specific operational requirements of payers, with pricing and plan options customized to fit individual customer needs, ensuring a flexible and adaptable service delivery model. Ultimately, this extensive array of features equips organizations to significantly boost their operational efficiency while also enhancing the quality of services provided to their members. By leveraging InsightPro, health insurance stakeholders can ensure they stay ahead in a competitive market while maintaining high standards of member satisfaction.

Media

Media

Integrations Supported

Motivity
Vetriq

Integrations Supported

API Availability

API Availability

Has API

Pricing Information

Pricing not provided

Pricing Information

Flexible payment options include monthly plans and pay-per-transaction billing. SaaS pricing is tailored to selected features and customer requirements; no long-term commitment is required.

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Web-Based Support

Customer Service / Support

Not specified

Training Options

Documentation Hub
Online Training

Training Options

Not specified

Company Facts

Organization Name

TriZetto

Date Founded

1983

Company Location

United States

Company Website

www.trizettoprovider.com

Company Facts

Organization Name

MDI NetworX

Date Founded

2014

Company Location

United States

Company Website

insightpro.ai/

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