Cost containment, vendor management and compliance are critical to payer operations. Our TriZetto® Trading Partner Management service solution lowers operational expenses, consolidates and manages vendor touch points and ensures regulatory compliance.
Payers are searching for effective ways to reduce administrative costs and streamline operations. One area of high cost and complexity involves the routing of claims to providers. Operating multiple connections to trading partners, EDI vendors and other parties that, in turn, route claims to providers is expensive and time-consuming—and diverts IT resources from strategic priorities.
From Many to One
Our Trading Partner Management service solution consolidates the number of trading partners a payer must manage from many to just one. The solution:
Comprehensive, flexible and scalable core administrative solutions that enable the digital transformation required for success in the commercial market.
Supports the economic advantage and efficiency needed to administer an individual line of business and participate in public and private insurance exchanges.
Flexible IT solutions to address requirements with customizable functionality.
Functionality that adapts to meet the complexities and demands of the Medicare Advantage market.
Functionality that adapts to meet the complexities and demands of the Managed Medicaid market.
Flexible solutions to coordinate multiple compliance requirements and ease administration burdens.
Share your success by nominating your organization for a Healthcare Excellence Award. Clients’ nominations will be recognized at the 2019 conference. Winners will be announced in the categories of excellence in innovation and operations. Let this be the year your organization is recognized. Join the ranks of previous finalists and winners. To learn more about the nomination process, contact the program manager.LEARN MORE