TriZetto vs ClearGage

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Our analysts compared TriZetto vs ClearGage based on data from our 400+ point analysis of Medical Billing Software, user reviews and our own crowdsourced data from our free software selection platform.

TriZetto Software Tool
ClearGage Software Tool

Product Basics

TriZetto by Cognizant is a set of health systems designed to simplify workflows and help provide more exceptional care. Health organizations of various sizes and specialties rely on it to streamline daily operations, including increasing administrative productivity and efficiency.

It automates billing and payment processes in addition to managing insurance claims. Since health care professionals prefer spending more time focusing on the patient as opposed to time-consuming tasks like charting and documentation, it offers a comprehensive set of electronic modules to help them automate day-to-day clinical tasks.
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Cleargage offers a set of solutions to streamline healthcare payments and improve the patient experience. HIPAA and PCI compliant, it can be deployed to all stages of the appointment lifecycle – pre-registration, time-of-service or post-registration. Give patients convenient financing options and greater visibility. It ensures enhanced financial management with flexible financing, patient payment portal, receivables funding, automated collection, electronic statements, interactive voice response and more.

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Mobile
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Product Assistance

Documentation
In Person
Live Online
Videos
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Documentation
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Email
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FAQ
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Knowledge Base
24/7 Live Support
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24/7 Live Support

Product Insights

  • Improve Quality Health Outcomes: Automate and integrate as many processes as possible to ensure health professionals can focus efforts on providing the best possible care for patients. Health analytics and insights assist clinicians in providing more accurate diagnosis and treatment. 
  • Increase Revenue: Increase health organizations’ daily traffic, which in turn leads to more revenue opportunities. Tools to help manage billing and claims can also help optimize return amounts. Physicians can treat more patients without sacrificing the quality of care provided, allowing for more money to be collected. 
  • Promote Accessibility: Access medical history, lab results, medication and more using online portals, any time and any place. View, edit and share records using any mobile device.
  • Enhance Patient Experiences: Provide patients with the ability to communicate with physicians online using the patient portal. Patients can exchange messages and video chat with healthcare professionals, access medical history, view lab results and more to take an active role in healthcare.
  • Interoperability: Address the changing industry landscape by achieving interoperability compliance for secure information exchange among physicians, patients and staff members. Data stored in the system is HIPAA compliant and only those with access can view it. 
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  • Flexible Financing: Provide affordable financing programs to help more patients access healthcare. 
  • Increase Visibility: Estimate patient’s out-of-pocket expenses to increase visibility and create a transparent patient experience. 
  • Improve Communication: Communicate with patients using the medium of choice: text, email, IVR or live agents. Send automated messages, reminders and communication campaigns at critical junctures of the patient lifecycle. 
  • Automate Payments: Leverages automation to simplify the whole payment process, increasing efficiency and streamlining the workflow. 
  • Reduce Staffing Needs: Automating the payment process also reduces staffing needs for a practice. Interactive voice response eliminates the need for manual customer service. 
  • Increase Revenue: Accelerates cash flow with automated collection and personalized financing plans. Get paid upfront or create personalized and affordable plans, reducing debts. IVR and mobile payments enable payments anytime, anywhere. Reduce expenses by sending e-statements. 
  • Enhance Patient Experience: An all-in-one patient portal, flexible financing options, out-of-pocket expense estimation, 24/7 voice response and communication campaigns help create a holistic patient experience and nurture patient-provider relationships. 
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  • Claims Processing: Automatically verify insurance and sweep claims, scrubbing them of any mistakes or coding errors, which often lead to denials or delayed reimbursement. This speeds up the process of submitting claims while helping improve first-time acceptance rates.  
  • Claims Reconciliation: Automate claims tracking throughout the reimbursement cycle. Monitor and convert EOB information into 835 remittance files to reduce errors and time spent reconciling claims. 
  • Rejection Prevention: Apply coding edits to insurance claims prior to submission. Receive error messages to identify rejections before they happen, reducing claims rejections. 
  • Eligibility Checks: Directly connect to insurance providers for real-time validation of patient eligibility. Integrate with practice management systems to seamlessly update patient insurance information. 
  • Patient Responsibility Estimation: Generate patient cost estimates in real time to improve client satisfaction and likelihood of payment. 
  • Prior Authorization: Automatically send prior authorization requests for treatment to patient insurance providers. Communicate with payers and track authorization requests within the provider portal. 
  • Patient Payments: Provide patients with a selection of payment options, including credit card processing, a payment portal and text-to-pay processing, to improve patient experiences. 
  • Denials Management: Receive claims denial notifications, along with causes and potential for appeal. Monitor error, edit and payer trends to reduce future denials. 
  • Contract Management: Audit payments against contractual agreements with payers. Automatically generate documents and track efforts to dispute underpaid obligations. 
  • RCM and Coding Services: Outsource revenue cycle management and coding processes, such as billing, patient statements, registration and insurance claims coding, to focus more on patient care and less on administrative tasks. 
  • Credentialing: Check and manage employee credentials against payer requirements to ensure maximum reimbursement. Store employee documentation to remain up-to-date on expired credentials. 
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  • Automated Payment Collection: Securely stores patient’s payment account details with their consent to automate payments. Get paid for any outstanding charges after claim adjudication. Schedules payments according to predetermined agreements. 
  • Reminder: Ensure fund availability by sending email or text reminders to patients. 
  • Interactive Voice Response: Set up self-service payments with bilingual IVR instead of customer service, giving patients access to payment options 24/7. 
  • Electronic Statements: Send eco-friendly e-statements to patients. 
  • Patient Portal: Patients can pay bills, preview payment plans, enroll for automated collection, manage wallets and access electronic statements and estimates via a single patient portal. Brand and customize the portal as necessary. 
  • Personalized Financing: Create transparent financing options for patients with custom term limits and interest charges. 
  • Expense Estimation: Accurately estimates patient expenses leveraging real-time data on their eligibility, insurance plan and payer fee patterns. 
  • Mobile Payments: Enables payments on-the-move through smartphones or tablets. 
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Product Ranking

#34

among all
Medical Billing Software

#52

among all
Medical Billing Software

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User Sentiment Summary

Great User Sentiment 21 reviews
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83%
of users recommend this product

TriZetto has a 'great' User Satisfaction Rating of 83% when considering 21 user reviews from 3 recognized software review sites.

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4.3 (13)
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2.9 (4)
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5.0 (4)
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Synopsis of User Ratings and Reviews

Cost Savings: Electronic documentation decreases paperwork, enhances employee efficiency, and leads to reduced office supply and operational costs in the long term.
Patient Engagement: Patient portals empower individuals to access their health information, schedule appointments and communicate with healthcare providers.
Patient Safety: Features like medication alerts and allergy notifications help prevent errors and improve patient safety.
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Improved AR Management: ClearGage offers digital payment solutions that streamline the payment process, leading to more timely payments and a reduction in outstanding patient balances.
Seamless Integrations: ClearGage integrates with popular practice management systems, such as DrChrono, facilitating a unified workflow for billing tasks.
Enhanced Patient Payment Experience: Patients can conveniently view and settle their bills using familiar digital channels, such as email and text message links, improving the overall payment experience.
Automated Processes: ClearGage automates various billing processes, including sending invoices and posting payments, freeing up staff time for other critical tasks.
Flexible Payment Options: ClearGage supports various payment options, including automatic payments and customizable payment plans, providing patients with flexibility in managing their healthcare expenses.
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Learning Curve: Staff may require time and training to adapt to new technology, potentially affecting productivity during the transition phase.
Data Security Concerns: EHRs are vulnerable to data breaches and cybersecurity threats, requiring robust security measures and ongoing vigilance.
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Unintuitive Features: Some users find it difficult to generate a detailed report of transaction and billing fees, impacting transparency and financial control.
Emails Mistaken for Spam: The appearance of emailed invoices can be perceived as unprofessional or spam-like by some patients, potentially leading to missed payments.
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TriZetto garners praise for its comprehensive suite of features that streamline medical billing processes, from patient registration and insurance verification to claim submission and payment processing. Users appreciate its ability to automate tasks, reducing manual effort and the potential for errors. The software's scalability makes it suitable for healthcare organizations of all sizes, accommodating the needs of both small practices and large enterprises. Additionally, TriZetto's analytics and insights empower healthcare professionals to make data-driven decisions, improving patient care and optimizing revenue cycles. However, some users note that TriZetto's robust functionality comes at a cost, as it can be more expensive than some competing solutions. The software's complexity may also present a learning curve for new users, requiring additional training and support. Despite these drawbacks, TriZetto remains a popular choice for healthcare organizations seeking a comprehensive and scalable medical billing solution. Its ability to automate tasks, improve efficiency, and provide valuable insights makes it particularly well-suited for large organizations with complex billing needs.

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Is ClearGage a clear advantage in the world of medical billing software? User reviews from the past year suggest that it is, highlighting its ability to streamline billing processes and improve the patient payment experience. A significant strength of ClearGage is its seamless integration with other software like DrChrono, enabling efficient office billing functions. Users particularly appreciate the digital payment options, such as texted or emailed links, which offer convenience and improve patient accounts receivable (AR) management by simplifying the payment process. This feature differentiates ClearGage from competitors by providing a modern, user-friendly approach that benefits both staff and patients. However, some users have pointed out that certain features, like generating detailed reports on transaction fees, are not intuitive. Despite this drawback, the overwhelmingly positive feedback suggests that ClearGage is a valuable tool for medical practices of all sizes looking to modernize their billing systems and enhance patient satisfaction. Its intuitive design and robust features make it particularly well-suited for smaller practices that may not have dedicated billing staff, allowing them to manage their billing efficiently without the need for extensive training or support.

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