With these products—Cognizant TruProvider®, NetworX Pricer®, NetworX Modeler® and NetworX Payment Bundling Administration—payer organizations will have a single source of truth for provider data driving enhanced provider reimbursement management. Gain speed, accuracy, efficiency and cost savings while reducing manual errors and supporting regulatory compliance. The result is greater value for every healthcare dollar, from claims pricing and contract analysis through value-based reimbursement administration.
Contract modeling application that projects the financial implications of provider contracts, leading to more informed and faster decision-making.
Automates claims pricing thereby increasing the speed, accuracy and efficiency of provider contract administration.
Automates the processing of bundled payments using clinical logic to identify and reprice claims based on their role in an episode of care.
Solving your directory, credentialing and related compliance issues.
Comprehensive, flexible and scalable core administrative solutions that enable the digital transformation required for success in the commercial market.
Supports the economic advantage and efficiency needed to administer an individual line of business and participate in public and private insurance exchanges.
Flexible IT solutions to address requirements with customizable functionality.
Functionality that adapts to meet the complexities and demands of the Medicare Advantage market.
Functionality that adapts to meet the complexities and demands of the Managed Medicaid market.
Flexible solutions to coordinate multiple compliance requirements and ease administration burdens.
Share your success by nominating your organization for a Healthcare Excellence Award. Clients’ nominations will be recognized at the 2019 conference. Winners will be announced in the categories of excellence in innovation and operations. Let this be the year your organization is recognized. Join the ranks of previous finalists and winners. To learn more about the nomination process, contact the program manager.LEARN MORE