The QicLink Enterprise Core Administration system is specifically designed to support third party administration of today’s complex self-funded plans. QicLink maximizes efficiencies through automation; enables seamless transactions between your providers, members and within your plans; and delivers affordable, integrated access to innovative vendor solutions that help you manage risk.
As a third party administration platform, QicLink supports multiple lines of business on a single core platform with multi-tenant capabilities, including Consumer-Directed Health, Medical, Dental, Vision, Medicare, Medicaid, Indemnity and Point of Service plans. The application’s comprehensive functionality and flexibility allows TPAs to better manage claim processes while enabling increased control over the cost and quality of care.
Capabilities include:
  • Medical and dental claims processing
  • Premium billing
  • Web-based customer service
  • Member and provider portal
  • Provider network management
  • Claims re-pricing
  • Application processing
  • Stop loss/reinsurance processing and reporting
  • Capitation/risk fund management
  • Utilization management/referral management
  • Hospital and medical pre-authorization
  • Electronic data interchange
QicLink’s third party administration platform open architecture supports rapid integration with ancillary applications. Microsoft SQL Server relational database technology allows ready access to QicLink data elements for export to external programs for reporting, analysis and other key functions.

QicLink modular add-ons

QicLink Business Extension

Optimize operations and extend application functionality

QicLink Specialty Modules

Comprehensive functionality to support specialty lines of business

QicLink Network & Care

Effective tools that support today’s complex provider network and care management initiatives

QicLink Partners

Manage the cost and quality of care with access to affordable, QicLink-integrated solutions

ClaimsExchange

Connect to a vast network of PPOs for electronic claims routing and re-pricing

Related services

Business Process Services

Services that offer meaningful business outcomes.

Business Consulting

Unparalleled healthcare business consulting expertise.

Next-Gen Technologies

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

Infrastructure Services

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

IT Professional Services

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

Services/Benefits Administration

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

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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