Updated Articles

  1. What is the RCM Tasks Page?

    The RCM Tasks page is designed to help you keep on top of tasks necessary for our RCM team to submit and follow up on claims timely. You can view a list of patient charts that need action, whether it is insurance/demographic or clinical rela...
  2. Requesting additional TriZetto (institutional) enrollments

    So, you've completed all of your initial enrollments (EDI for claims; ERA for electronic remits; RTE for real-time eligibility, if required) but now need a few more.  How do you proceed?  With TriZetto's STEM portal, the process is very easy! ...
  3. Requesting additional TriZetto (professional) enrollments

     So, you've completed all of your initial enrollments (EDI for claims; ERA for electronic remits; and RTE for real-time eligibility, if required) but now need a few more.  How do you proceed?  With TriZetto's STEM portal, the process is very easy!...
  4. TriZetto Clearinghouse Payer IDs

    Each payer or insurance has its own payer ID number to accept electronic claims. It serves as the electronic address , so the clearinghouse knows which payer/insurance company should receive the claim. Some national payers, such as Aetna (6...
  5. Requesting additional enrollments through TriZetto

    So, you've completed all of your initial enrollments (EDI for claims; ERA for electronic remits; and RTE for real-time eligibility, if required) but now need a few more.  How do you proceed?  With TriZetto's STEM portal, the process is very easy!...
  6. ePS - Reinitiating an enrollment request

    If an enrollment request submitted to eProvider Solutions is returned for additional information or denied, you now have the option to update/correct the information and reinitiate the request, instead of submitting a brand-new request. ...
  7. eProvider Solutions- What do the different statuses mean?

    Within the ePS (eProvider Solutions) enrollment portal, you can see different statuses under the Managed Submitted tab. They include: Complete Form Created, Provider Action Required Digital Signature - The form...
  8. ePS: EDI Enrollment Check

    When a claim is placed in a submission status (Bill Insurance, Bill Secondary Insurance, Auto Accident Claim, Worker's Compensation, Durable Medical Equipment), a check will be made before submission to ensure that an EDI submission request has ...
  9. ePS Enrollment Module Activity Log

    As you submit and track your EDI/ERA enrollments, you will now be able to see the date/time/user/action all within the EDI portal under the Activity Log. ...
  10. ePS Enrollment Module: TIN update

    To assist with submitting your enrollment requests through EProvider Solutions (EPS), we have added a column to list the associated Tax ID/TIN number. This will help identify which request is which if your office bills with multiple Tax ID numb...