Capturing or increasing your share of the growing and competitive Medicare Advantage market – and profiting from it – demands new levels of administrative efficiency, accuracy and accountability.

TriZetto offers comprehensive Medicare solutions to help Medicare Advantage and Part D administrators reduce administrative costs, maximize revenue opportunities for accurate and timely payment and improve CMS compliance by automating the administration and management of member and reimbursement transactions between the plan and CMS.
TriZetto^® Medicare Solutions offers an array of solutions that help plans in these 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.

TriZetto solutions serve more than 40 percent of Medicare Advantage lives today.

• Comprehensive Medicare functionality ready to efficiently handle claims processing as well as enrollment,reconciliation, billing, medical-management, workflow processes and other key needs
• Automation of the full spectrum of care management activities for the Medicare population
• Solution that will continue to adapt as Medicare reporting requirements and other administrative demands evolve
• A choice of delivery options to match your business requirements and budget including both hosting and BPO services
• Complete Part D solution to handle complex enrollment and reconciliation requirements