Home > Medical Billing Software > TriZetto > TriZetto vs EZClaim

TriZetto vs EZClaim

Last Updated: November 18th, 2024

Our analysts compared TriZetto vs EZClaim 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.

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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.

EZClaim provides management solutions designed for small- and medium-sized offices to help simplify payment and scheduling processes. It offers cloud-based as well as on-premise deployment options. It integrates with third-party EMR and EHR systems such as AxisCare, ElationHealth, WebPT and more.

It supports regulatory standards outlined by HIPPA and stores patient data in a secure location. Users can identify billing issues and recode statements to resolve errors.

$300 Monthly

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$149 Monthly

Free Trial is available →

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Tailored to your specific needs

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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.

Improved Efficiency: Automates repetitive tasks, reducing manual data entry and freeing up staff for more critical activities.
Enhanced Accuracy: Minimizes human errors in billing and coding, ensuring claims are submitted correctly the first time.
Faster Reimbursements: Streamlines the claims process, leading to quicker payments from insurance companies.
Comprehensive Reporting: Provides detailed financial and operational reports, aiding in better decision-making and strategic planning.
Regulatory Compliance: Keeps up-to-date with the latest healthcare regulations, ensuring your practice remains compliant with industry standards.
Patient Satisfaction: Reduces billing errors and improves communication, leading to a better patient experience.
Cost Savings: Lowers administrative costs by reducing the need for extensive manual labor and paper-based processes.
Scalability: Easily adapts to the growing needs of your practice, whether you are a small clinic or a large healthcare provider.
Data Security: Employs robust security measures to protect sensitive patient information, ensuring compliance with HIPAA regulations.
Integration Capabilities: Seamlessly integrates with other healthcare systems, such as EHRs and practice management software, for a unified workflow.
Customizable Workflows: Allows for tailored workflows to match the specific needs and processes of your practice.
Real-Time Updates: Provides real-time updates on claim statuses, enabling prompt follow-up on denials or rejections.
Training and Support: Offers comprehensive training and ongoing support to ensure your team can effectively utilize the software.
Revenue Cycle Management: Enhances overall revenue cycle management by optimizing each step from patient registration to final payment.
Patient Portal Access: Facilitates patient engagement by providing access to billing information and payment options online.

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.

Billing: Send electronic statements to patients via TriZetto or BillFlash, ensuring smooth transactions. Review, approve, reject or edit statements from a single screen. Auto-post ERAs to process payment information quickly. Link documents to help navigate across related files promptly. Set up physician libraries to help submit error-free claims. Send ANSI 837 5010 claim documents to clearinghouses or directly to payers.
Revenue Cycle Management: Outsource billing to firms, like Achane Medical Billing, Elite Billing Resolutions, Ramey Consultancy Services LLC, Prohealth Billing Solutions and more, to help identify reimbursement issues and data entry errors.
HIPPA Compliant: Conduct risk analyses to identify potential data breaches. Identify patients by accessing ePHI (electronically protected health information) to avoid disclosing confidential documents.
Patient Statements: Classify and label patients for internal tracking purposes. Export statements into CSV, PDF, HTML or RTF file formats. Allow patients to pay electronically via eBill or ePay.
Scheduling: Add resources to schedules to help simplify workflows. Switch to the calendar view and double-click on timeslots to schedule appointments. Create and save appointment templates to help save time. Set time blocks to avoid scheduling conflicts. Add patients to waiting lists to help fill canceled slots and improve patients’ experiences. Print patient receipts directly from the payment screen.
Task Management: Track rejections or billing issues to help streamline follow-up processes. Create tasks from EDI files or patient claims from the quick access grid. Mark tasks as assigned or completed to update employees. Add, modify or remove column headers from the task access tab using drag-and-drop functionality. Gain detailed overviews of jobs using the find tool. Set reminders to help meet deadlines.
Centralized Database: Access data from anywhere, at any time. Perform data backups regularly to avoid losing important information. Update documents to keep everyone on the same page.
Integrations: Integrate with existing EHR systems and other platforms such as Practice Fusion, WebPT, Amazing Charts, ReminderCall and QuickEMR.
Reporting: Generate and print reports to help provide quality patient care. Analyze financial statements to help make operations economically efficient. View patients’ historical data to avoid misdiagnosis. Evaluate operational metrics to help streamline budgeting processes.
Widgets: Customize the home screen as per business needs. Click the refresh button to update widget data. Switch to tile view to access information at a glance.

Product Ranking

#34

among all
Medical Billing Software

#62

among all
Medical Billing Software

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Analyst Rating Summary

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User Sentiment Summary

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.

91%

of users recommend this product

EZClaim has a 'excellent' User Satisfaction Rating of 91% when considering 67 user reviews from 1 recognized software review sites.

4.3 (13)

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4.55 (67)

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Awards

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.

Simplified Claim Scrubbing: Users praise EZClaim's ability to automatically catch errors that could lead to claim rejections, saving them time and frustration. It's like having an extra set of expert eyes reviewing your claims before submission.

Intuitive User Interface: Many users find EZClaim's software easy to navigate, even without prior experience with medical billing software. They appreciate the straightforward design and logical workflow.

Improved Claim Submission Speed: EZClaim enables users to submit claims electronically, significantly reducing the time it takes compared to traditional paper-based methods. This allows for faster payment processing.

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.

Claims Rejection Issues: Users have reported frequent claim rejections due to errors or missing information, leading to delays in reimbursements.

Software Glitches and Bugs: Some users have experienced software glitches and bugs that disrupt workflow and cause frustration.

Poor Customer Support: Users have expressed dissatisfaction with the responsiveness and helpfulness of customer support, making it difficult to resolve issues promptly.

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.

Is EZClaim really easy to claim as the best in its class? Recent user reviews suggest EZClaim is a mixed bag. Users praise its intuitive interface and robust features, particularly the automated invoice generation and payment reminders, which streamline billing and save valuable time. However, a recurring criticism targets its steep learning curve, making it less "EZ" than its name suggests, especially for those unfamiliar with medical billing software. Some users find the pricing structure complex and expensive compared to competitors like Kareo and AdvancedMD, which offer more transparent pricing models. EZClaim seems best suited for established medical practices with dedicated billing staff who can invest the time to master the software and leverage its advanced features. Smaller practices or solo practitioners on a tight budget might find its complexity and cost outweigh its benefits.

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FAQ

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