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.

Benefits include:

• Achieves up to 90% pricing automation
• Increases first time pass rate
• Reduces or eliminates the need for manual intervention
• Labor savings of as much as 30%
• Reduces contract configuration time by as much as 75%
• Handles the most complex scenarios
• Scales to meet the needs of even the largest payer organizations