For Providers

Educational Material for Providers

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TriZetto SimpleClaim is a dedicated direct-date entry system through which you can submit claims electronically and monitor them through the claims process. Horizon NJ Health encourages all providers to use SimpleClaim to manage their claims more efficiently if contracting with TPS or if a clearinghouse that contracts with TPS is not an option. Here are four training documents that will help you get up to speed on SimpleClaim:

SimpleClaim Overview

SimpleClaim Training Document

How to View Rejections on the TPS Client Site

How to Add Users on the TPS Client Site