As payers continue to redefine their relationship with their hospitals and providers, contracts are growing more complex. Many core systems struggle to keep-up with these changes. Payers are forced to rely on manual processes resulting in lost productivity, greater cost and more errors.
NetworX Pricer automates the processing of complex payment methodologies for payers and providers. With a library of more than 350 calculations and 125 qualifiers, payers can create automated, complex contracts easily while ensuring greater speed, accuracy and efficiency of contract administration. NetworX Pricer interfaces with Facets™, QNXT™ and non-TriZetto core systems and can be used as a central pricing engine for multiple source claims systems.