TriZetto Medicare Solutions provides comprehensive business solutions for Medicare Advantage industry covering nearly 40% percent of the Medicare Advantage membership. TriZetto Medicare Solutions assists healthcare organizations in four key areas:

• Enrollment Administration
• Claims Data Submission
• Financial Reconciliation
• HCC Revenue Management

In addition to TriZetto Medicare Solutions, TriZetto’s suite of Medicare solutions for core claims administration, care management and network pricing, can help you enhance revenue growth, drive administrative efficiency, and improve the cost and quality of care.

Benefits

• Reduces operating costs
• Helps Medicare Part C and Part D plans manage revenues
• Supports compliance with CMS rules