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TriZetto NetworX Modeler - Provider Pricing Optimization
TriZetto® NetworX Modeler® quickly and effectively conducts what-if scenarios to evaluate potential pricing using real fee-for-service claims data. By leveraging its ability to quickly and accurately model highly complex pricing arrangements, you can enter contract negotiations with confidence, knowing exactly what meets your criteria, using actual repriced claims data instead of sample data manipulated by mathematical formulas. Unlike other vendor solutions, NetworX Modeler seamlessly transfers pricing frameworks into NetworX Pricer®, expediting the deployment of new contracts into production claims adjudication workflows.

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TriZetto NetworX Modeler

Quickly model and compare provider contracts, enabling data-driven negotiations, accurate financial forecasting and improved network cost management.

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TriZetto NetworX Suite Adapter for Solventum™ Grouper Plus Content Services (GPCS)

TriZetto NetworX Suite Adapter for Solventum™ GPCS streamlines Medicare and Medicaid claims pricing with unified, cloud‑powered automation.

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NetworX partners

Our partners elevate our NetworX solutions with seamlessly integrated software, services and technologies that meet our quality standards for supporting contract analysis, claims pricing and value-based reimbursement administration.

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