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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 Silna Health?

Silna Health's Care Readiness Platform adeptly handles prior authorizations, benefit verifications, and insurance tracking from the outset, allowing patients to be prepared for care while enabling providers to focus on treatment delivery. Utilizing AI technology, the platform manages the full spectrum of prior authorization workflows, which encompasses tracking upcoming authorizations, dispatching weekly reminders, processing submissions, and performing follow-ups, all while adhering to established industry standards and flagging exceptions that require human oversight. Real-time benefit checks tailored to distinct specialties verify coverage details, accumulation status, authorization requirements, and visit limitations, delivering accurate quotes at the moment of intake. Furthermore, the system continuously monitors insurance to detect lost coverage, identify new plans, and avert eligibility gaps. Engineered to function without the need for additional staffing, Silna seamlessly integrates data from electronic medical records (EMRs) and practice management systems, provides customizable rule sets and strategic frameworks, and includes user-friendly dashboards that reveal insights into incremental revenue opportunities. This all-encompassing methodology not only simplifies various processes but also significantly boosts the financial health of healthcare providers, ultimately leading to improved patient care outcomes. As a result, the platform stands out as a vital tool in modern healthcare management.

Media

Media

Integrations Supported

Motivity
Vetriq

Integrations Supported

StreamABA

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Web-Based Support

Customer Service / Support

Web-Based Support

Training Options

Documentation Hub
Online Training

Training Options

Documentation Hub

Company Facts

Organization Name

TriZetto

Date Founded

1983

Company Location

United States

Company Website

www.trizettoprovider.com

Company Facts

Organization Name

Silna Health

Date Founded

2023

Company Location

United States

Company Website

www.silnahealth.com

Categories and Features

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