TriZetto Healthcare RCM

What TriZetto Healthcare RCM is

TriZetto Healthcare RCM is Cognizant's web-based set of revenue cycle management products and services for hospitals, health systems, and ambulatory care organizations. Its coverage spans patient access, eligibility and enrollment, coding, clearinghouse services, accounts receivable, and denials management. Eligibility services include screenings, financial counseling, and application support for Medicaid, Medicare, and charity programs. The clearinghouse supports claim submission and tracking, status inquiries, remittance conversion to EDI 835 files, and claims connections to more than 8,000 payers. Denials tools can identify potential professional and institutional denials and support appeals and payer follow-up. Revenue Cycle Management Workflow prioritizes accounts by payer, amount, and age; ARM Pro automates identification of common claim rejection causes. Cognizant reports 650+ electronic medical record integrations and says its clearinghouse has longstanding relationships with 650+ practice management vendors. The service is paid, with pricing available on request. Cognizant also reports more than 30 years in revenue cycle management and processes 2.6 billion transactions annually, supporting more than 200 million lives.