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.
TPS offers a comprehensive suite of solutions that empowers confident billing, faster payments, and more informed decisions.
Our Suite of Services Includes:
Patient Engagement
Redefine patient satisfaction.
The patient engagement solutions from TPS empower you to have informed conversations about eligibility and financial responsibility.
Solutions include ...
- 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.
Solutions include ...
- 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.
Solutions include ...
- 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.
ROI Calculator ...
Want to learn more?
If you are interested in learning more about TriZetto Provider Solutions, please complete the form below and a specialist will be in touch shortly:
This Health IT Module is compliant with the ONC Certification Criteria for Health IT and has been certified by an ONC-ACB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services.
Criterions EHR 4.0 Complete EHR Ambulatory
Holds Certificate No. 15.04.04.2705.Crit.04.00.1.191111 Date Certified: 03/21/2014
Criteria certified for this product : 170.315 (a)(1-5, 9, 12, 14-15); (b)(1-3, 10); (c)(1-3); (d)(1-9, 11-13); (e)(1, 3); (f)(1, 5); (g)(2-7, 9-10)
Clinical Quality Measures tested: 2v8, 22v7, 50v7, 68v8, 69v7, 117v7, 122v7, 124v7, 125v7, 128v7, 130v7, 131v7, 134v7, 138v7, 139v11, 146v7, 149v11, 153v11, 154v11, 156v7, 159v11, 161v7, 165v7, 177v7, 349v5, 951v1
Additional software used: EMRDirect phiMail Server, NewCrop, EMRDirect phiQuery/Interoperability Engine
This certified product-version may require ongoing monthly costs to support online patient service, direct messaging, or ePrescribing.
Support for integration of this certified product-version with other ONC certified systems may require additional one-time costs.
