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Independent Clearinghouse Support

TriZetto Claims Support Services

Independent outsourced billing operations for practices submitting through Cognizant TriZetto Provider Solutions (TPS). MedPrecision is not affiliated with, endorsed by or an agent of Cognizant or TPS, and this is not TPS product support.

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Quick Answer

Is this TriZetto's support desk?

No. MedPrecision is an independent billing company and is not affiliated with Cognizant or TriZetto Provider Solutions; TPS runs its own product support desks. What we provide is outsourced billing operations performed through a practice's existing TPS connection — claim submission, clearinghouse-rejection correction, eligibility verification, and remittance retrieval and posting — so the EDI transactions flowing through TriZetto are actually worked. Your practice keeps the TPS account, the contract and the ability to revoke our access at any time.

  • Independent service — not affiliated with Cognizant or TriZetto Provider Solutions, and not TPS product support
  • You keep the TPS account and contract; we work inside it under logins you provision and can revoke
  • We submit, clear rejections, verify eligibility and post remittances through your existing connection
  • Every exception closes to a named end state — corrected, escalated to the payer, or returned to you
AAPC Certified
AHIMA Credentialed
HBMA Member
HIPAA Compliant

MedPrecision is an independent medical billing company. It is not affiliated with, endorsed by or an agent of Cognizant or TriZetto Provider Solutions, and this page is not TPS product support. TPS runs its own customer support desks for its own products — a physician-practice desk for Gateway EDI and a health-systems desk for ClaimLogic, both listed on its contact page (trizettoprovider.com, read 17 September 2026). If your question is about the TPS product itself — portal access, connectivity, a payer connection, your TPS contract — that desk is the right one and we are not a substitute for it. What we do is the billing work that moves through your TPS connection once it is running. TriZetto — now Cognizant TriZetto Provider Solutions — is a clearinghouse and EDI network carrying eligibility, claim, claim-status, remittance, attachment and prior-authorization transactions between practices and payers (TPS's own payer-list page, read 17 September 2026). Like any clearinghouse it does the transport, not the work: claims still reject at the front end, eligibility still has to be checked, and remittances still have to be retrieved and posted. Practices connected to TriZetto often leave that work half-done because it sits between the EHR and the payer, where no one owns it. We take ownership of that queue under a defined scope, with your practice keeping the TPS account and the vendor relationship.

Who This Service Is For

Practices submitting claims or verifying eligibility through TriZetto (TPS) Offices with TriZetto rejections and unretrieved remittances accumulating Providers whose billing falls into the gap between EHR and clearinghouse Practices that want their TriZetto connection operated under a defined scope, with named owners on both sides

What Is Breaking Right Now

Claims stuck in TriZetto rejection reports, counting as unbilled

Eligibility not verified through TriZetto, driving avoidable denials

Remittances delivered through TriZetto but never retrieved or posted

The EDI network connected but under-operated, with no one accountable for closing the exception queue

What We Handle

Claim submission through TriZetto

We submit professional, institutional, secondary and tertiary claims through your TPS connection and resolve clearinghouse edits before they reach the payer, so first-pass acceptance improves instead of claims returning as front-end rejections.

Rejection queue worked to closure

TriZetto front-end rejections never reach the payer and never pay until corrected. We work the rejection report on a fixed cadence and close every line to one of three named end states: corrected and resubmitted, escalated to the payer with a reference, or returned to the practice with the specific missing item. No line is closed simply as reviewed.

Eligibility & benefits verification

We run eligibility and benefits checks through your TPS connection ahead of appointments, so claims are not denied for coverage the practice could have confirmed up front. Coverage exceptions go back to the front desk before the visit, not after the denial.

Remittance retrieval & posting

We retrieve electronic remittance advice through TPS and post it against expected reimbursement, flagging underpayments and remittances the network delivered that nobody collected. Unposted remittance is reported as an open exception rather than absorbed.

Free Billing Audit · No obligation

Work your TriZetto connection, don't just maintain it

Get a free review of your TriZetto rejection queue, eligibility gaps and unposted remittances. We will show you what is sitting in the EDI network unworked, and what a defined scope over it would cover.

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What Reporting and Visibility Looks Like

Transparency is built into every engagement. You will always know where your revenue stands and what actions are being taken on your behalf.

Monthly KPI Dashboards

Track collection rates, denial trends, days in A/R, and payer-level performance with dashboards delivered on a fixed schedule.

Real-Time Claim Tracking

See claim status updates in real time so you never have to wonder where a payment stands or when follow-up is happening.

Quarterly Business Reviews

Detailed reviews with actionable recommendations covering denial root causes, payer trends, and revenue recovery opportunities.

Proactive Alerts

Automated alerts when key metrics shift, so issues are caught and addressed before they affect your bottom line.

Glossary

TriZetto Claims Support | Independent Billing Service Key Terms

Cognizant TriZetto Provider Solutions (TPS)
A US healthcare clearinghouse and EDI network, formerly TriZetto and now part of Cognizant, carrying eligibility, claim, claim-status, remittance, attachment and prior-authorization transactions between providers and payers. Its provider-facing products include Gateway EDI for physician practices and ClaimLogic for hospitals and health systems, each with its own TPS support desk. MedPrecision is independent of Cognizant and TPS and is not one of those support desks.
EDI network
The electronic data interchange system that transports standardized healthcare transactions — eligibility and response, claim, claim acknowledgement, claim status and remittance advice — between providers and payers. It moves the data and applies format edits; it does not work the billing behind it.

Common Questions

Common questions about trizetto claims support | independent billing service.

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Is MedPrecision TriZetto's support team?

No. MedPrecision is an independent medical billing company and is not affiliated with, endorsed by or an agent of Cognizant or TriZetto Provider Solutions. TPS — the provider-facing business formerly known as TriZetto, now Cognizant TriZetto Provider Solutions — publishes its own customer support contacts on its contact page: one desk for physician practices on Gateway EDI and another for health systems on ClaimLogic (trizettoprovider.com, read 17 September 2026). If your question is about the TPS product, portal access, connectivity or your TPS contract, that desk is the one to call. What we do is the billing work that flows through your connection once it is live.

Who holds what, if you work claims through my TriZetto connection?

You do. Your practice keeps the TPS account, the contract with Cognizant and whatever TPS bills you for the connection; we do not hold your contract, sign for you, or act as your account owner with TPS. We work inside your existing connection under named user logins your practice provisions and can revoke at any time, and the scope is written down before we start: which transaction streams we work, on what cadence, which exceptions come back to you, and who on your side receives them. There is no new software to buy.

What is a TriZetto clearinghouse rejection?

A clearinghouse rejection is a claim stopped by TriZetto before it reaches the payer, due to a format or edit error. It never adjudicates and never pays until it is corrected and resubmitted, and because it was never adjudicated it carries no denial and no appeal rights — which is exactly why unworked rejection reports quietly become unbilled revenue rather than showing up in a denial rate.

Do I have to switch clearinghouses to use your billing?

No. We work whichever clearinghouse your practice uses, including TriZetto. If your payers and EHR route through TPS, we work it there. Scope and fee are set for the billing engagement as a whole — by the transaction streams worked and the volume behind them, not as a per-claim clearinghouse charge — and TPS's own fees for the connection stay between you and TPS. Ask us for the scope in writing before you sign, including the cadence on the rejection queue and who owns an exception when it has to come back to you.

Free billing audit

Work your TriZetto connection, don't just maintain it

Get a free review of your TriZetto rejection queue, eligibility gaps and unposted remittances. We will show you what is sitting in the EDI network unworked, and what a defined scope over it would cover.

  • No contract
  • No setup fees
  • Reply within 1 business day
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