carrot carrot carrot Change Centers x cognizanti collaborators create-folder Data Science Decisive Infrastructure download download edit Email exit Facebook files folders future-of-work global sourcing industry info infographic linkedin location Mass Empowerment Mobile First our-latest-thinking pdf question-mark icon_rss save-article search-article search-folders settings icon_share smart-search Smart Sourcing icon_star Twitter Value Webs Virtual Capital workplace Artboard 1

Please visit the COVID-19 response page for resources and advice on managing through the crisis today and beyond.

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.

INCREASING THE WORTH OF EVERY DOLLAR

Our provider reimbursement solutions consists of an integrated provider data management platform and 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 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.

PRODUCTS

NetworX Modeler®

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

LEARN MORE
NetworX Pricer®

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

LEARN MORE
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.

LEARN MORE

FEATURED WORK

CASE STUDY
Streamlined claims pricing generates operational and medical savings for health plans

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.

LEARN MORE
CASE STUDY
TriZetto® NetworX suite automates complex contracts, 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.

LEARN MORE

LINES OF BUSINESS

Commercial

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

LEARN MORE
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.

LEARN MORE
Specialty

Flexible IT solutions to address requirements with customizable functionality.

LEARN MORE
Medicare

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

LEARN MORE
Medicaid

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

LEARN MORE
Duals

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

LEARN MORE

RELATED SERVICES

Business Process Services

Services that offer meaningful, business outcomes.

LEARN MORE
Business Consulting

Unparalleled healthcare business consulting expertise.

LEARN MORE
Next-Gen Technologies

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

LEARN MORE
Infrastructure Services

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

LEARN MORE
IT Professional Services

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

LEARN MORE
Services/Benefits Administration

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

LEARN MORE
Business Process-as-a-Service

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

LEARN MORE

HEALTHCARE VISION BLOG

VISIT OUR BLOG

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.

Please Enter Valid First Name
Please Enter a Valid Email Address
Please Enter Valid Company Name
Please Enter Valid Contact Number
Please Input the Region
Please Input the Inquiry Type
Please Input the SubInquiry Type
Please Enter A Message

Thank you for your interest in Cognizant.

We’ll be in touch soon.
TRIZETTO® HEALTHCARE PRODUCTS

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

(800) 569-1222