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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 RiskEnvision?

RiskEnvision is a comprehensive collection of modular RMIS products tailored for enterprise-level risk management and claims administration, fully accessible via the web. This platform proficiently manages a variety of tasks, including payment processing, reserve management, correspondence, policy monitoring, diary management, and reporting across diverse insurance categories such as Auto, General Liability, Products, Property, and Workers' Compensation, all within a user-friendly interface that demands minimal maintenance. Users benefit from the swift deployment capabilities of RiskEnvision, allowing for rapid access to a completely web-based solution for enhancing their risk management and claims operations. In addition, the ACES component has been specifically designed to meet the rising necessity for innovative tools aimed at cost containment and efficient claims management, particularly in the workers' compensation and property and casualty markets, which significantly boosts the overall efficacy of the RiskEnvision suite. This integration of ACES not only improves operational efficiency but also positions organizations to respond more effectively to the complexities of modern risk management.

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

Ebix

Company Location

United States

Company Website

www.ebix.com/risk-envision

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

Risk Management

Alerts/Notifications
Auditing
Business Process Control
Compliance Management
Corrective Actions (CAPA)
Dashboard
Exceptions Management
IT Risk Management
Internal Controls Management
Legal Risk Management
Mobile Access
Operational Risk Management
Predictive Analytics
Reputation Risk Management
Response Management
Risk Assessment

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