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Designed to support third party administration for today’s complex self-funded plans.

The QicLink Enterprise Core Administration system is specifically designed to support third party administration of today’s complex self-funded plans. QicLink maximizes efficiencies through automation; enables seamless transactions between your providers, members and within your plans; and delivers affordable, integrated access to innovative vendor solutions that help you manage risk.

QicLink supports multiple lines of business on a single core platform with multi-tenant capabilities, including Consumer-Directed Health, Medical, Disability, Dental, Vision, Medicare, Medicaid, Indemnity and Point of Service plans. The application’s comprehensive functionality and flexibility allows TPAs to better manage claim processes while enabling increased control over the cost and quality of care.

Capabilities include:

  • Medical, dental and disability claims processing
  • Premium billing
  • Web-based customer service
  • Member and provider portal
  • Provider network management
  • Claims re-pricing
  • Application processing
  • Stop loss/reinsurance processing and reporting
  • Capitation/risk fund management
  • Utilization management/referral management
  • Hospital and medical pre-authorization
  • Electronic data interchange

QicLink’s open architecture supports rapid integration with ancillary applications. Microsoft SQL Server relational database technology allows ready access to QicLink data elements for export to external programs for reporting, analysis and other key functions. 

QICLINK MODULAR ADD-ONS

QicLink Business Extension

Optimize operations and extend application functionality

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QicLink Specialty Modules

Comprehensive functionality to support specialty lines of business

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QicLink Network & Care

Effective tools that support today’s complex provider network and care management initiatives

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QicLink™ Partners

Manage the cost and quality of care with access to affordable, QicLink-integrated solutions

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ClaimsExchange

Connect to a vast network of PPOs for electronic claims routing and re-pricing

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CONTACT US

At Cognizant, we are here to provide you with more information about our TriZetto Healthcare Products software and service solutions and answer any questions you may have.

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