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Cognizant logo TriZetto

Automate to Drive Value

THE RIGHT INFORMATION AT THE RIGHT TIME FOR THE BEST VALUE

Our provider data management platform and reimbursement management portfolio support payer compliance while delivering increased speed, accuracy and efficiency to drive cost savings.

PROVEN, FULLY INTEGRATED, PROVIDER REIMBURSEMENT SOLUTIONS

NetworX Provider Reimbursement Solutions, validated across 83 health plans representing 183 million covered lives, offer the most proven tools to automate provider pricing, modeling and payment bundling. 

Our solutions – NetworX Pricer®, NetworX Modeler®, and NetworX Payment Bundling Administration - are fully integrated with each other, and with Facets® and QNXT™ claims systems, which reduces time to value, with lower cost and effort to implement and maintain vs. other vendor offerings.

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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FEATURED WORK

CASE STUDY
Accelerated migration expedites claims pricing efficiency

Our TriZetto NetworX Pricer and NetworX Modeler solutions provide a single source of claim to pricing across all lines of business, as well as greater consistency, accuracy and improve provider satisfaction.

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CASE STUDY
Automation reduces manual claims submission by 59%

Cognizant’s TriZetto® NetworX suite helps KHS increase first-pass rate, reduce or eliminate manual interventions, decrease contract configuration time, handle most complex pricing scenarios, and support ongoing regulatory changes and Medi-Cal requirements.

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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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Business Process-as-a-Service

Integrated software and services healthcare BPaaS solution that includes process optimization, digitization and large-scale efficiencies.

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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