TriZetto Enrollment Portal FAQs

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Updated: 09/30/2024 | Views: 442

Answers to the most common TriZetto Enrollment Portal questions.

Question	Answer
What is the TriZetto Enrollment Portal?	Tebra provides a self-service electronic data interchange (EDI) enrollment process that gives you complete control of creating and managing your enrollment. The enrollment process is managed in the TriZetto Enrollment Portal, which is powered by Madaket Health, a TriZetto partner. The portal provides customers direct access to Tebra’s clearinghouse (TriZetto) to enroll for electronic services: Claims, Eligibility, and/or electronic remittance advice (ERA).
What information do I need to provide my Onboarding Manager to set up the TriZetto Enrollment Portal?	Account information is gathered during the configuration call with your Onboarding Manager to start the setup process of your TriZetto Enrollment Portal. To avoid delays, gather the following information before the configuration call with your Onboarding Manager: Tebra Account Name Legal Business Name Admin Contact Name Admin Title Admin Contact Phone Number Admin Contact Email Full Address If your practice is credentialed as a group, gather the following information: Group Name Group National Provider Identifier (NPI) Taxpayer Identification Number (TIN) If your provider(s) is credentialed as an individual, gather the following information: Provider Name Individual NPI TIN
How do I get a login for the TriZetto Enrollment Portal?	The enrollment contact will receive a welcome email from support@madakethealth.com with a link to set up their TriZetto Enrollment Portal user 3-5 business days after the configuration call with the Onboarding Manager. If you are not the enrollment contact for the practice but require access to the TriZetto Enrollment Portal, contact your practice's enrollment contact. They can create a user account in the TriZetto Enrollment Portal.
I have not received the welcome email for the TriZetto Enrollment Portal, who do I contact?	You should receive the email within 3-5 business days after your TriZetto Enrollment Portal is successfully set up with the information provided to your Onboarding Manager during the configuration call. Check your email’s spam, junk, or trash folder. If you still have not received the email, contact your Onboarding Manager.
How do I use the TriZetto Enrollment Portal?	Review the TriZetto Enrollment Portal Guide for instructions on how to enroll for EDI services.
I have a user account, how do I access the TriZetto Enrollment Portal?	You can log in through the TriZetto Enrollment Portal website. You can also access the TriZetto Enrollment Portal link from the Insurance page in the web platform. Hover over the User icon and click on Practice Settings. The Practice Settings page opens. Click Insurance. The Insurance Companies dashboard opens. Click TriZetto Enrollment. The Enrollment Portal page opens.
Can Tebra do the enrollments for my practice/providers?	No. Practices and providers now have the control to complete self-service enrollments for their EDI services.
Do I need to set up insurance companies before starting enrollments in the TriZetto Enrollment Portal?	Yes. We recommend creating insurance companies in Tebra before starting enrollments in the TriZetto Enrollment Portal. Review the TriZetto Enrollment Portal Guide for instructions on how to add the insurance companies.
Can I enroll for worker’s comp/auto insurance payers in the TriZetto Enrollment Portal?	Tebra uses a separate clearinghouse, Jopari, for all worker’s comp and auto accident payers and should not be added to your TriZetto Enrollments Portal. Jopari does not require enrollment for worker’s comp and auto accident payers. Review Electronic Workers' Compensation and Auto Insurance Companies to learn how to add worker’s comp and auto payers in the Desktop Application (PM). After configuring the Electronic Claims settings for the payer(s) in the Desktop Application (PM), you can submit the claims electronically.
How many payers can I submit enrollment for at a time?	25 payers can be submitted for enrollments at a time. If you have more than 25 payers to enroll, submit them in multiple batches.
How do I remove a user from the TriZetto Enrollment Portal?	If a user should no longer access the practice’s TriZetto Enrollment Portal, contact Customer Care to remove the user.
The payer approved my enrollment, do I need to configure any settings before submitting a claim?	Once enrolled with the payer, configure the Electronic Claims settings for the insurance company in the Desktop Application (PM) to send electronic claims.
Who do I contact if I have questions?	Contact your Onboarding Manager for assistance. If you no longer have an Onboarding Manager, contact Customer Care.