Premier Clearinghouse Integration: TriZetto Provider Solutions

Maximize Clean Claims.

Accelerate Revenue.

End-to-end RCM that handles the entire billing workflow from eligibility through payment posting. Reduce denials and offload your billing burden today.

SUCCESS METRICS

"Our clients consistently see significant growth in their annual collections with our RCM services."

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Net Collection

High

Days in A/R

Low

Denial Rate

Minimal

RCM Workflow Modules

End-to-end financial management suite — streamlined from charge capture to final payment
Front-End & Charge Capture
  • Superbill scrubbing
  • Insurance enrollment
  • Eligibility verification
  • Charge entry support
Claims Processing
  • Claim submission
  • Rejection resolution
  • Denial management
  • Medical record submissions
  • Appeal submissions
Payments & ERA/EOB
  • Electronic ERA processing
  • EOB reconciliation
  • Automated payment posting
  • Refund processing
  • Credit resolution
Patient & Practice Support
  • Electronic EOB review
  • Electronic statements
  • Paper statements
  • Performance reporting
  • Financial insights

Extended Capabilities

Patient Support
Credentialing
Consulting
A/R Recovery

RCM Performance Metrics

Industry Benchmarks

Net Collection Rate

Industry Leading

Above industry standard

Days in A/R

Low

Faster than average

First Pass Resolution

High

Clean claims rate

Denial Rate

Minimal

Below industry average

Ready to maximize your revenue?

Let us handle the billing so you can focus on what mattes mosts-your patients.

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