1. Healthcare title Healthcare
  2. Revenue Cycle Management Solutions title Revenue Cycle Management Solutions | Cognizant
Clearinghouse Solution
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Health plan solutions for frictionless member experiences

HEALTHCARE RCM

Clearinghouse services

Solve healthcare payments through innovation and expertise.

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<h3>Growing your healthcare business</h3> <p>Cognizant’s TriZetto® clearinghouse solution is a comprehensive revenue cycle management experience focused on providing top-notch innovation and stellar customer service. Cutting-edge technology like AI and machine learning allows us to improve claim outcomes while providing unparalleled technical support to healthcare providers so they can collect the revenue they’re due.</p>
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Overview
Eligibility excellence: Pathways to strategic staff empowerment

In today's rapidly changing healthcare landscape, eligibility and benefits management is more critical than ever. This webinar addresses these challenges and provides actionable strategies to empower your staff and enhance your organization's success.

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<h3>Why Cognizant&nbsp;</h3>
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4.4 billion

annual payer-provider transactions

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650

EHR system integrations

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875k

healthcare providers supported

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Why Cognizant
<h3>Industry-leading data transaction solutions</h3>
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Our solutions
Claims management

Accelerate payment while decreasing administrative burdens. With 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors, our claims management solutions can result in fewer pending claims and less manual intervention.

With our solutions, you can:

  • Securely send claims transactions with a SOC 2 compliant, HITRUST and EHNAC-accredited clearinghouse solution
  • Simplify the claims and remittance process
  • Reduce rejection rates
  • Automate claim status inquiries
  • Convert EOBs to standard EDI 835 files
  • Easily track claims from submission to payment

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Patient engagement

Redefine patient satisfaction. Meet the shift to healthcare consumerism head-on by providing a straightforward and seamless financial experience. Our patient engagement solutions empower you to have informed conversations about eligibility and financial responsibility while reducing hurdles that may impact patient outcomes.

With our solutions, you can:

  • Verify eligibility
  • Discover hidden insurance coverage
  • Simplify the prior authorization process
  • Help patients understand their financial responsibility
  • Utilize user-friendly statements and flexible payment options
  • Collect more up front

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Analytics

Access beneficial insight and seize growth opportunities with proper data management. Our robust analytics tools allow you to easily drill down and manage data for increased visibility into your revenue cycle. Whether your organization needs to investigate a recent issue or has long-term goals, analytics can help enhance comparative benchmarking and improve your overall performance.

With our solutions, you can:

  • Streamline data consumption with modern, advanced dashboards and interfaces
  • Identify and isolate issues for decisive action
  • Realize efficiencies to improve cash flow and increase revenue
  • Utilize comprehensive data for competitive benchmarking
  • Employ in-depth insight for strategic decision-making

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How billing companies compete in growing markets

The RCM industry has a promising 12% growth rate. This article describes how billing organizations can stay ahead.

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<h3>Awards and certifications</h3>
<p>Cognizant is proud to be recognized by industry analysts and certification providers for our revenue cycle management solutions.</p>
Everest Group—Global research firm
HFS Research—Business research and consultancy
KLAS Research—Healthcare IT reports
SOC 2 certification for secure data management and privacy protection in healthcare
EHNAC—Healthcare data security certification and operational excellence
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Awards and certifications

Get connected

If you need a dependable RCM solution but you’re unsure where to start, fill out the contact form below. Our streamlined enrollment processes allow us to be flexible and accommodating for healthcare businesses of all sizes.

We’re not just any partner; we’re your next best business growth solution.

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