TriZetto® Provider Service provides web-based tools that streamline provider administrative processes. Providers can conduct a wide range of self-service transactions and inquiries in a secure online environment. Capabilities include: checking member eligibility, reviewing benefit summaries and product details, reviewing claim status and submitting referrals, and logging pre-authorization for inpatient and outpatient services. The application is integrated with both the TriZetto® Facets™ and TriZetto® QNXT™ core administration platforms to give providers direct access to the most current information available.

TriZetto® Provider POS Direct® is a web-based solution that accurately calculates patient financial liability and adjudicates claims at the point of service. This application offers real-time, accurate calculations of patient financial liability before, during or after care to address the cost transparency needs of both providers and consumers. Patient liability inquiries return results in seconds and support healthcare services delivered in physician offices, clinics and hospital outpatient settings. This solution is pre-integrated with TriZetto® Facets™ and TriZetto® QNXT™ core administration platforms and may also be integrated with existing legacy systems.