End-to-end core administration

A configurable, rules-driven solution with demonstrated capability, flexibility and reliability.
The QNXT Enterprise Core Administration System is a configurable, rules-driven, end-to-end core administration solution with demonstrated scalability, flexibility and reliability. It supports multiple lines of business on a single core platform, including Commercial, Individual, Medicare, Medicaid, Duals, Consumer-Directed Health and Specialty. QNXT’s vast array of functions and full solution suite of modules include everything a payer organization needs to manage their data and operations, including:
  • Medical and Specialty claims processing
  • Claims re-pricing
  • Capitation/risk fund management
  • Premium billing
  • Provider network management
  • Group/membership administration
  • Referral management
  • Hospital and medical pre-authorization
  • Case management
  • Customer service
  • Electronic data interchange
The out-of-the-box solution has deep rule-based features and functions that promote automation and accuracy. Built on an open platform with service-oriented architecture, the QNXT application delivers the flexibility and functionality necessary to improve performance and increase efficiency. It also helps you compete more effectively in the ever-changing healthcare market and positioning your organization to minimize financial risk and comply.
The latest introduction into QNXT is the new myQNXT functionality. Using drag and drop functionality, myQNXT gives users control over what they see, allowing them to create a customized view of layout and content according to their personal preference and job role. The myQNXT functionality provides the modern user experience that the new workforce has come to expect from working with technology.

QNXT modular add-ons

QNXT™ Workflow

Streamline business processes with greater accuracy and efficiency

QNXT™ Open Access

Fast, flexible integration of multiple applications

QNXT™ DOFR Module

Align Division of Financial Responsibility (DOFR) payment with QNXT

QNXT™ Dental Module

Expanded automation of dental claims to increase efficiency and optimize workflow and accuracy

TriZetto® Robotic Process Automation

A comprehensive native robot marketplace to accelerate implementation, operation

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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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