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Cost containment, vendor management and compliance are critical to payer operations. Our TriZetto® Trading Partner Management service 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 is expensive and time-consuming for EDI vendors and other parties that, in turn, route claims to providers. It also diverts IT resources from strategic priorities.
From many to one
Our Trading Partner Management service 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.
Support for the economic advantages and efficiencies.
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.