Fri, Oct 4, 2013, 11:01 PM EDT - U.S. Markets closed
Clearinghouse Helps Providers Avoid Revenue Delays and Prepare for Industry Transition
DENVER--(BUSINESS WIRE)--
TriZetto
Provider Solutions, which encompasses Gateway EDI, ClaimLogic and
NHXS, announced that clients can begin testing their 5010 professional
claims for ICD-10 readiness beginning on October 15, 2013, nearly a year
in advance of the ICD-10 implementation deadline. Claims testing will be
a critical step as providers prepare their practices to transition to
ICD-10 and will help providers reduce the risk of payment delays once
ICD-10 takes effect.
Clients can begin testing 5010 professional claims on October 15, 2013,
and 5010 institutional and dental claims on December 1, 2013. 4010
claims, print image claims and NSF professional claims can be submitted
beginning December 31, 2013. Unlike most clearinghouses, TriZetto
Provider Solutions will continue to accept inbound claims in various
pre-5010 formats and will convert them to the ICD-10 compliant version.
In order to convert these claims, physician offices must send the
necessary ICD-10 code along with their pre-5010 formatted claims.
“We’ve taken a very strategic, planned approach to our ICD-10 testing to
provide that all of our clients, regardless of their claims file types,
receive dedicated time and attention from our team,” said Chris Hunter,
senior vice president and provider market president at TriZetto. “This
staggered testing rollout will enable us to give our clients time to
test their claims, identify errors and modify their processes in an
effort to be ICD-10 compliant.”
In addition to testing provider claim files, TriZetto Provider Solutions
helps providers manage the ICD-10 transition with practice management
software vendor and payer testing. The company also offers educational
resources and a dedicated team of knowledgeable EDI specialists to
provide heightened client support. The ICD-10
Insight website serves as a one-stop resource for important
information about the transition, including frequently asked questions,
videos, webinars and news updates.
“The move to ICD-10 is one of the biggest business challenges for the
healthcare industry in our lifetime. These challenges, combined with all
of the complexities of care delivery, can be overwhelming,” said Dr.
Jeffrey Rose, chief medical information officer at TriZetto Provider
Solutions.
“While testing claims is an essential step in the ICD-10 transition
process, TriZetto Provider Solutions is committed to supporting our
clients through this critical change. We encourage providers everywhere
to begin preparing for ICD-10 now to avoid negative impacts to their
business.”
To help all providers navigate ICD-10, TriZetto Provider Solutions
offers a free ICD-10
Implementation Planning Worksheet, which includes a list of
preparation steps and suggested timeline for transitioning to ICD-10.
Providers can also find other helpful ICD-10 resources at www.gatewayedi.com/icd10.
TriZetto Provider Solutions serves more than 200,000 providers across
the country, equipping physicians, hospitals and health systems with the
tools and information they need to simplify business processes and get
accurate payments quickly. TriZetto Provider Solutions is built on the
combined technology and experience of Gateway EDI, NHXS and ClaimLogic,
and plays an important role in driving greater collaboration between
providers and payers.
About TriZetto
TriZetto provides world-class information technology and service
solutions that help payers and providers work more efficiently and collaborate
to deliver better health. TriZetto solutions touch over half the U.S.
insured population and reach more than 200,000 care providers. TriZetto
helps healthcare organizations enhance
administrative efficiency; improve
the cost, quality and delivery of care; address compliance; and
compete to win in an emerging retail market. Payer solutions include benefits
administration, care
management, network
management and portal platforms, as well as consulting,
application
management and business
management services. Provider solutions include real-time
eligibility assurance, claims editing, revenue
cycle management technology and services that help providers get
paid quickly and accurately. For more information, visit www.trizetto.com.
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