TriZetto Provider Solutions Clearinghouse (Mostly Ambulatory) Commentary
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Dustin Cragun
Research Director
KLAS Research Director - Dustin Cragun
 
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User Commentary

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Analyst/Coordinator

Relationship

I don't really have any issues with TriZetto Provider Solutions. They never come in, and they never...

Apr 2024
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Analyst/Coordinator

Product

I love that the EOBs download into the system and are automatically posted. Also, I get a list of...

Apr 2024
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Analyst/Coordinator

Relationship

The phone and web support for TriZetto Provider Solutions can be a little harder to get to than...

Apr 2024
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Manager

Product

For what I use, everything works well together, I haven't had any problems. Everything runs about as...

Apr 2024
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Manager

Relationship

TriZetto Provider Solutions’ customer service for one ranks extremely high because they are always...

Apr 2024
||
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CEO/President

Value

The product is good. It is definitely worth our money. We were doing a lot of things by hand before...

Apr 2024
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CEO/President

Relationship

I wish we had a representative from TriZetto Provider Solutions who would follow up with us and ask...

Apr 2024
||
(0)
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CEO/President

Loyalty

I hope that my overall satisfaction with the system will improve with the integrations that will be...

Apr 2024
||
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CEO/President

Relationship, Operations

The vendor has queues that we can work through. I like the way those are set up. I also like the...

Apr 2024
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Manager

Relationship

I have had some issues with the system, but those may have been due to user error on my part. The...

Apr 2024
||
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Manager

Operations, Product

I like the system because it is a simple program once users learn how to use it, and the vendor is...

Apr 2024
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Manager

Product

I use SimpleClaim, so all I really need to know is whether something got submitted and what the date...

Apr 2024
||
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Manager

Value

With TriZetto Provider Solutions Clearinghouse, I get so many claims per month, and then there is a...

Apr 2024
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Director

Loyalty, Operations

We are implementing the denials management piece. Initially, we weren't able to see any data. I was...

Apr 2024
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Director

Relationship

I don't expect a lot of promises from TriZetto Provider Solutions. They do what they do, and they do...

Apr 2024
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Director

Value

The vendor doesn’t avoid charging for every little thing. With our last PM system, there was a lot...

Apr 2024
||
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Director

Loyalty, Relationship

When we were with other vendors, I was dissatisfied with their customer service and ability to help...

Apr 2024
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Director

Culture, Relationship

TriZetto Provider Solutions works. We got some packages and add-ons through the transition from our...

Apr 2024
||
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Manager

Value

I haven't had any issues with TriZetto Provider Solutions. If I did have any issues, then I could...

Apr 2024
||
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Operations

I don't know of anything right now that could be improved in TriZetto Provider Solutions...

Mar 2024
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Product

TriZetto Provider Solutions Clearinghouse is very easy to use. I like the fact that our claims go...

Mar 2024
||
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Manager

Product

Managing the claims process is easy with TriZetto Provider Solutions Clearinghouse. I like that I...

Mar 2024
||
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Manager

Relationship

I hardly ever have issues with TriZetto Provider Solutions. On the rare occasion that I get a...

Mar 2024
||
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Manager

Product

The vendor’s integration is good. At one point, we had to transfer from one username to the next...

Mar 2024
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Manager

Value

If it weren’t for TriZetto Provider Solutions Clearinghouse, we wouldn't get more than half of our payments....

Mar 2024
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CFO

Culture, Loyalty

Unless TriZetto Provider Solutions raises their prices a lot and forces me out, I will continue with...

Mar 2024
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CFO

Product

I don't use a lot of the vendor's stuff. I pull down the EOBs and send my claims, and that is it....

Mar 2024
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CFO

Culture, Relationship, Operations

I wasn't happy that the vendor bumped up their yearly service fee. There could have been more...

Mar 2024
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Manager

Culture, Relationship

I would like an easier way to get missing remittances. Sometimes, a remittance is missing, and we...

Mar 2024
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Manager

Operations

The implementation services were excellent. The vendor was timely and accurate. They had a very easy...

Mar 2024
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Manager

Product

The interoperability of the product is excellent. It speaks to one of our other systems, and the...

Mar 2024
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Manager

Product

I like to do a quick lookup for insurance carriers and payer IDs. If a payer ID is 12345, that is...

Mar 2024
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Manager

Relationship

Our most important need is getting our remittances and seeing our remittance advice. When something...

Mar 2024
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Manager

Relationship

The principal reason I would buy the product again is reliability. The website is always up....

Mar 2024
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Manager

Loyalty

The vendor said they were going to get a certain connection after the Change Healthcare cyberattack,...

Mar 2024
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Manager

Value

TriZetto Provider Solutions does charge for every little thing, but that is because of their...

Mar 2024
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Manager

Operations

I don't have issues after the vendor does an upgrade, and I never need help. We are very satisfied...

Mar 2024
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Manager

Relationship

The vendor is absolutely proactive. We are highly satisfied with their proactivity, especially with...

Mar 2024
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Manager

Product

The strength of the claim statusing functionality is a bit of an issue. I have to call the payer...

Mar 2024
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(0)
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Physician

Relationship, Product

The system worked well for our purposes. I wish I could help the vendor with things that need to get...

Mar 2024
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Physician

Relationship

I haven't had any issues with TriZetto Provider Solutions, and I like working with them. All of...

Mar 2024
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Manager

Relationship, Product

A couple of times, when I have needed to find something older than a few years, I haven't been able...

Mar 2024
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Manager

Loyalty

TriZetto Provider Solutions is part of our long-term plans because when we send our statements, the...

Mar 2024
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Manager

Operations

The solution is pretty easy. It is self-explanatory. When we go through the tabs, there is not a...

Mar 2024
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Manager

Relationship

The support from TriZetto Provider Solutions is good. If I ever do need help, they are always there,...

Mar 2024
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Physician

Relationship

The quality of support varies. If we call and get a person with experience and knowledge and they...

Feb 2024
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Physician

Operations, Product

The overall quality of the product is good. The product is easy to use and quick to learn. It is not...

Feb 2024
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Physician

Relationship, Operations, Product

I never receive any updates or communication about the updates. So I just don't know whether the...

Feb 2024
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Physician

Product

Briefly, the vendor was involved in integration with our EMR, but it was more of our EMR vendor...

Feb 2024
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Physician

Relationship

TriZetto Provider Solutions is a big organization. We just have to navigate the organization and...

Feb 2024
||
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Physician

Value

I’m not seeing the benefits and the return with TriZetto Provider Solutions. The vendor’s charges...

Feb 2024
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(0)
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Physician

Culture

I dealt with the sales representative, the person who helped me to sign up with TriZetto Provider...

Feb 2024
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(0)
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Physician

Operations

There was no implementation involved. We had to do our own research. TriZetto Provider Solutions...

Feb 2024
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(0)
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Manager

Culture, Relationship

Whenever I have had to call TriZetto Provider Solutions and ask them a question to get something...

Jan 2024
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Manager

Relationship

I have worked at a billing office in the past that has utilized various billing clearinghouses. Many...

Jan 2024
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Manager

Product, Value

I have never had a problem with TriZetto Provider Solutions. I submit the bills, the bills go to the...

Jan 2024
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Analyst/Coordinator

Product

We use TriZetto Provider Solutions' product because it links up with our software and gives us more...

Jan 2024
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(0)
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Analyst/Coordinator

Product

The features we find beneficial in TriZetto Provider Solutions' product are the claims payments. We...

Jan 2024
||
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Analyst/Coordinator

Value

The problem is the vendor charges for the different features in the clearinghouse. Some of the stuff...

Jan 2024
||
(0)
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Analyst/Coordinator

Relationship

We don't really have any problems getting claims back from the system. We do have some rejected...

Jan 2024
||
(0)
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Analyst/Coordinator

Operations, Product

When TriZetto Provider Solutions does upgrades, the upgrades are not always the friendliest. Every...

Jan 2024
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Manager

Operations, Product

The system is great and very easy to use. I wish everything went through it.

Jan 2024
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(0)
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CEO/President

Relationship

I have never had a complaint about the product. We are satisfied with the vendor’s statusing...

Jan 2024
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(0)
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CEO/President

Relationship, Product

My staff has always been very happy with the vendor’s clean claims rate. They are very proud and...

Jan 2024
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(0)
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CEO/President

Relationship, Operations

There were some technological changes in our software, and there was a question about how...

Jan 2024
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CEO/President

Relationship

When we call customer service numbers, the people are in a hurry to get rid of us because they get...

Jan 2024
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CEO/President

Relationship, Product

When the vendor’s technology has changed, they have been ready. We have never had a situation where...

Jan 2024
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Manager

Operations

We didn’t have any issues at all with the implementation. TriZetto Provider Solutions was really...

Jan 2024
||
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Manager

Relationship

Our support person is really great when I have questions and gets back to me on those. They are...

Jan 2024
||
(0)
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Manager

Relationship, Product

The only stability issue we have is with the eligibility product. I don't know that the issue is...

Jan 2024
||
(0)
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Manager

Product

We can see a lot more data with TriZetto Provider Solutions Clearinghouse than we could with our...

Jan 2024
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(0)
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COO

Product

We just drop files back and forth with TriZetto Provider Solutions. I have never been approached...

Dec 2023
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(0)
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COO

Relationship, Operations

Every interaction I have had with the vendor's team has been great. The person that I deal with who...

Dec 2023
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COO

Culture

The person that I worked with in the beginning from TriZetto Provider Solutions was very responsive...

Dec 2023
||
(0)
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COO

Relationship, Product

The functionality in the clearinghouse solution is great for me. I don't have any issues with the...

Dec 2023
||
(0)
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COO

Operations, Product

The quality and effectiveness of the tool is great. The one thing for me is when it comes to...

Dec 2023
||
(0)
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COO

Value

We contract with multiple different clearinghouses based on the provider that we manage. Everything...

Dec 2023
||
(0)
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COO

Product

I would love more connection with other entities to be able to push and pull a claim forward or push...

Dec 2023
||
(0)
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Manager

Relationship, Product

The solution is excellent with everything. I deal with a few clearinghouse systems, and TriZetto...

Dec 2023
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(0)
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Manager

Product, Value

The system does everything that I want it to. I don't have any complaints about it, and the system's...

Dec 2023
||
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Manager

Relationship

Sometimes, we will be on hold with the vendor's support people for quite a bit. We can spend up to...

Dec 2023
||
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Manager

Operations

One thing that I have trouble with is that I don't understand a lot about the system, but TriZetto...

Dec 2023
||
(0)
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Manager

Value

The vendor's charges could be fairer and based on usage when it comes to claims processing. We have...

Dec 2023
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(0)
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Manager

Relationship

The vendor is pretty up front when it comes to availability and new products. They are also pretty...

Dec 2023
||
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Manager

Product

The system is very convenient and easy to use. We log in, press a few buttons, and get the...

Dec 2023
||
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Manager

Relationship

One thing that I don't like about the system is that the vendor doesn't offer any support after...

Dec 2023
||
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Manager

Relationship, Product

We have been very pleased with the solution. We haven't had any problems with remittance management...

Dec 2023
||
(0)
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Manager

Relationship

Anytime we have tried to talk to the vendor's customer service people, they have been very...

Dec 2023
||
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Manager

Operations, Product

I have trained myself on the solution just by using it. I don't know whether there is any kind of...

Dec 2023
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Physician

Operations

In the rare times when I have a question, it is answered, and I have not had a problem finding...

Nov 2023
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Manager

Relationship

We don't have very many issues with the vendor. They are a pretty good company, and I get responses...

Nov 2023
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Manager

Operations, Product

The product is pretty easy to use. I have liked it from day one, and we have gotten used to it. I...

Nov 2023
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Manager

Relationship, Product

Ultimately, I have no issues with the clearinghouse. It integrates extremely well with our EHR, and...

Oct 2023
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Manager

Loyalty, Relationship

Our experience with TriZetto Provider Solutions has been good, but we don’t know how we feel about...

Oct 2023
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Manager

Product

The vendor is really great at enrolling all the providers and getting our electronic claims all set...

Sep 2023
||
(0)
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Manager

Product

TriZetto Provider Solutions has a good list of payer IDs, so most claims can go through the...

Sep 2023
||
(0)
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Manager

Product

The only thing I would like to be able to do with TriZetto Provider Solutions Clearinghouse is post...

Sep 2023
||
(0)
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Manager

Relationship

I have never had any issues with TriZetto Provider Solutions, and they are always very responsive.

Sep 2023
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(0)
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Analyst/Coordinator

Product

I have used several other clearinghouses that have just been so frustrating, but TriZetto Provider...

Sep 2023
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(0)
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Analyst/Coordinator

Relationship

The vendor does a solid job of really trying to meet the needs of their customers, and I would...

Sep 2023
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(0)
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Analyst/Coordinator

Product

There is more to the system than just claims remittance. There are resources in the system that...

Sep 2023
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(0)
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Analyst/Coordinator

Product

I can’t believe how difficult it is to get some electronic EOBs into some other clearinghouses....

Sep 2023
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(0)
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Analyst/Coordinator

Relationship, Product

When I work with some other vendors, I sometimes have to leave their websites, but that isn’t...

Sep 2023
||
(0)
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Manager

Relationship, Product

TriZetto Provider Solutions scrubs the claims before they send them out, and it is easy to fix...

Jun 2023
||
(0)
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Manager

Culture, Relationship

Out of all of the years I have dealt with the vendor, only one time did I have an agent who didn't...

Jun 2023
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(0)
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Manager

Product

I would definitely recommend TriZetto Provider Solutions. I didn't understand the utilization of the...

Jun 2023
||
(0)
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Analyst/Coordinator

Product

For the most part, TriZetto Provider Solutions' system does its job. It is an all-in-one program,...

Jun 2023
||
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Analyst/Coordinator

Culture, Product

The system works as advertised. There are some payers that are potentially missing and that the...

Jun 2023
||
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Analyst/Coordinator

Product, Value

TriZetto Provider Solutions has a program we can use to convert PDF files to RMT files, and they...

Jun 2023
||
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Analyst/Coordinator

Relationship

TriZetto Provider Solutions is very communicative about where they are going and what they are...

Jun 2023
||
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Analyst/Coordinator

Relationship

The vendor’s method for us to contact them via email is easy, but the person on the other end is...

Jun 2023
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Manager

Product

The product works well and is always adding new payers. The system does a great job of tracking...

Jun 2023
||
(0)
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Manager

Relationship

Anytime we have any kind of issue, we call the vendor, and they walk us through things.

Jun 2023
||
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Manager

Relationship, Product

The vendor's remittance management is super simple. If we do get a rejected claim, we call the...

Jun 2023
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Manager

Relationship, Product

The solution is the best clearinghouse tool I have ever worked with. Everything is fast and easy. If...

May 2023
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Manager

Product, Value

The claims transmission is top notch. The retention of the explanations of benefits is very helpful...

May 2023
||
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Manager

Product

I like to have the system pulled up all day long, and the system will not allow me to do that. It...

May 2023
||
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Manager

Operations

The initial training was fantastic. We hit the ground running. The upgrades have made things look...

May 2023
||
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Manager

Relationship

The vendor is always keeping up-to-date on the changes in healthcare. Pretty much everything is...

May 2023
||
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Physician

Operations, Product

The product is pretty easy to use, except for working on the denials. That process is a little...

May 2023
||
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Physician

Relationship

The vendor is not proactive. I have to constantly contact them for the answers I need, and I usually...

May 2023
||
(0)
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Physician

Loyalty, Operations

One reason we want to move away from TriZetto Provider Solutions is that they are slow to implement...

May 2023
||
(0)
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Physician

Culture, Relationship

The product is not a bad product. But when the vendor had a remittance, their response was...

May 2023
||
(0)
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Physician

Loyalty, Relationship

I often have to do my own research to know why my claims are getting denied or what is wrong with...

May 2023
||
(0)
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Physician

Operations

TriZetto Provider Solutions didn't do a good job of training us. I had to figure everything out myself....

May 2023
||
(0)
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Manager

Product

TriZetto Provider Solutions Clearinghouse is very user-friendly. For example, when we have to...

May 2023
||
(0)
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Manager

Relationship

If I have a problem with anything, I am always able to get support quickly. The vendor is always...

May 2023
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Manager

Relationship

TriZetto Provider Solutions should focus on staying competitive and keeping the website user...

May 2023
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Manager

Culture

The only thing that was unfortunate about TriZetto Provider Solutions was that when we needed to get...

May 2023
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Manager

Operations

Everything seems to be seamless with TriZetto Provider Solutions. I don't feel like I have to sit...

May 2023
||
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Manager

Relationship

Truthfully, I have never had a problem with TriZetto Provider Solutions. I always feel like they are...

May 2023
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(0)
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Manager

Relationship

When I am trying to set up an electronic funds transfer or something, TriZetto Provider Solutions...

May 2023
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Manager

Value

TriZetto Provider Solutions is easy to work with. I don't have any complaints about them. I don't...

May 2023
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Manager

Operations

TriZetto Provider Solutions provides training webinars. However, their website is a little clunky...

May 2023
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Manager

Relationship, Product

The relationship between the solution and our EMR needs some work. For example, there are some pairs...

May 2023
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