Partner

TriZetto Provider Solutions and Criterions Partnership

Criterions has proudly partnered with TriZetto Provider Solutions (TPS), a Cognizant Company, for their industry-leading innovation in revenue cycle management products and solutions. With the right people, solutions, and business process services in place, our partnership helps organizations run more efficiently by realizing new levels of performance and functionality.

Let Criterions and TPS simplify the business of healthcare.

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Our Suite of Services Includes

TPS offers a comprehensive suite of solutions that empowers confident billing, faster payments, and more informed decisions.

Patient Engagement

Redefine patient satisfaction.

The patient engagement solutions from TPS empower you to have informed conversations about eligibility and financial responsibility.

Eligibility
Insurance Eligibility Discovery
Patient Responsibility Estimation
Electronic Authorizations
Patient Statements
Payment Processing

Claims Management

Accelerate payment while decreasing administrative burdens.

With 8,000+ payer connections, the claims management solutions from TPS can result in fewer pending claims and less manual intervention.

Electronic Claims and Remittance
Editing
Claim Status Inquiry
Secondary Claims
Workers' Comp
paperResolve
Reporting

Denials & Contract Management

Maximize revenue recovery.

The denials and contract management solutions from TPS effectively monitor every transaction to identify errors, automate the appeal process, and allow for intelligent payer contract decisions.

Denied Claim Analysis
Contract Compliance
Appeal Automation

Credentialing

A faster route to enrollment.

TPS' intuitive Pulse portal, coupled with expert-supported service, provides an end-to-end solution for your organization's credentialing needs.

Curious what credentialing costs your organization today? See how much you can save with TPS's ROI calculator →

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