First Insight, TriZetto’s Gateway team to enhance reimbursement cycle

Article

MaximEyes customers will soon experience revenue cycle management enhancements.

Hillsboro, OR-First Insight Corp. has partnered with TriZetto Corp.’s Gateway EDI subsidiary to provide revenue cycle management services to ophthalmic practices. According to a press release issued by the companies, the collaboration will enable practices to process claims and collect reimbursement more effectively.

First Insight’s MaximEyes practice management software and EHR system, integrated with TriZetto’s electronic claims, allows practices to send claims automatically and electronically over a secure channel, get paid more quickly and accurately, and reduce errors in the billing process. Once claims are sent, practices can retrieve a claims response report that shows the initial status of the claims, enabling offices to tackle claims rejections quickly. Because the TriZetto and MaximEyes platforms will be integrated, practices will also be able to eliminate paperwork by storing and accessing all Electronic Remittance Advice (ERA) files electronically.

In addition to electronic claims and ERA management, TriZetto will soon integrate its electronic patient statements with First Insight’s MaximEyes software, allowing providers to easily send patient statements quickly to maintain strong cash flow. The companies also will provide MaximEyes customers with the ability to verify patients’ insurance eligibility electronically.

Newsletter

Want more insights like this? Subscribe to Optometry Times and get clinical pearls and practice tips delivered straight to your inbox.

Recent Videos
Dana Shannon, OD, FAAO, shares pearls on spotting red flags in need of referral and enhancing patient care with follow-up compliance.
Dana Shannon, OD, FAAO, detailed a lecture she gave at the NOA Midwestern Symposium earlier this month.
CRU 2025 provided the latest insights regarding glaucoma, dry eye disease, retina, myopia, neurotrophic keratitis, and keratoconus.
Rachelle Lin, OD, MS, FAAO
Paul Karpecki, OD, FAAO
Melissa Barnett, OD, FAAO, FSLS, FBCLA, gave 2 presentations alongside other ODs and MDs at CRU 2025.
Rachelle Lin, OD, MS, FAAO, at CRU Eye Symposium 2025
Melissa Tawa, OD, FAAO, provides insights to take glaucoma management from reactive to proactive in presentations given at CRU 2025 in Napa, California.
Rachelle Lin, OD, MS, FAAO, details her presentation on inherited retinal diseases at CRU 2025.
Setting the stage in LA: Neda Shamie, MD, on the 19th annual Controversies in Modern Eye Care meeting
© 2025 MJH Life Sciences

All rights reserved.