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Automate to Drive Value

AUTOMATE PRICING SCENARIOS TO PROVIDE THE BEST VALUE

Our provider reimbursement management portfolio helps payers gain speed, efficiency and cost savings while reducing manual errors and supporting compliance.

INCREASING THE WORTH OF EVERY DOLLAR

Our provider reimbursement management portfolio consists of three main products that, singly or together, automate often complex pricing scenarios to provide the best value to payers, providers and patients. 

With these products—NetworX Pricer®, NetworX Modeler® and NetworX Payment Bundling Administration—payer organizations will gain speed, efficiency and cost savings while reducing manual errors and supporting compliance with regulatory standards. The result is greater value for every healthcare dollar, from claims pricing and contract analysis through value-based reimbursement administration.

PRODUCTS

NetworX Modeler®

Contract modeling application that projects the financial implications of provider contracts, leading to more informed and faster decision-making.

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NetworX Pricer®

Automates claims pricing thereby increasing the speed, accuracy and efficiency of provider contract administration.

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NetworX Payment Bundling Administration

Automates the processing of bundled payments using clinical logic to identify and reprice claims based on their role in an episode of care.

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LINES OF BUSINESS

Commercial

Comprehensive, flexible and scalable core administrative solutions that enable the digital transformation required for success in the commercial market.

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Individual & Small Group

Supports the economic advantage and efficiency needed to administer an individual line of business and participate in public and private insurance exchanges.

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Specialty

Flexible IT solutions to address requirements with customizable functionality.

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Medicare

Functionality that adapts to meet the complexities and demands of the Medicare Advantage market.

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Medicaid

Functionality that adapts to meet the complexities and demands of the Managed Medicaid market.

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Duals

Flexible solutions to coordinate multiple compliance requirements and ease administration burdens.

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RELATED SERVICES

Business Process Services

Services that offer meaningful, business outcomes.

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Business Consulting

Unparalleled healthcare business consulting expertise.

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Next-Gen Technologies

Leverage the power of next-generation technologies to build a stronger, agile business.

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Infrastructure Services

Services to manage your infrastructure so you can manage your business.

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IT Professional Services

Unrivaled resources and healthcare expertise to meet your IT business needs.

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Services/Benefits Administration

Software, technology, expertise and proven methodologies to help you manage your business more effectively.

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GET THE RECOGNITION YOU DESERVE

Healthcare Excellence Awards: Cognizant is pleased to honor clients using our technology solutions to build new best practices or discover new ways to address changing business models. Discover how the Healthcare Excellence Awards program can get your organization the recognition it deserves.

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May 20–23, 2018 Cognizant Healthcare Conference

The Healthcare Conference brings our clients and partners together to discuss strategies and solutions that will help address the challenges you are facing today.

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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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TRIZETTO® HEALTHCARE PRODUCTS

Speak with a consultant today to learn more about Cognizant's TriZetto Healthcare Products.

(800) 569-1222

TriZettoHCProducts@cognizant.com