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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


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 ...

Do you know how much it really costs to manage credentialing in house? Click here to see how much you can save.

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:


Tech Support
516.466.1942 Ext. 2

516.466.1942 Ext. 3


This Complete EHR 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 3.0 Complete EHR Ambulatory

Holds Certificate No. 03212014-2401-5 Date Certified: 03/21/2014

Modules Tested: 170.314(a)(1-15); 170.314(b)(1-5, 7); 170.314(c)(1-3); 170.314(d)(1-9); 170.314(e)(1-3); 170.314(f)(1-3); 170.314(g)(2-4)

Clinical Quality Measures tested: CMS122v2; CMS126v2; CMS134v2; CMS138v2; CMS146v2; CMS148v2; CMS154v2; CMS165v2; CMS166v3

Additional software used: NewCropRx, MS Excel, EMR Direct phiMail Server

This certified product-version may require ongoing monthly costs to support online patient service, direct messaging, or ePrescribing.


This certified product-version may require one-time costs to establish interfaces for reporting to immunization registries, cancer registries, and public health agencies.

Support for integration of this certified product-version with other ONC certified systems may require additional one-time costs.

Click here for Criterions' Mandatory Disclosure.

Click here for Criterions' certifications.

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