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NetworX Modeler® is a fast and effective way to conduct what-if scenarios for potential pricing using actual fee-for-service claims data. Leveraging its ability to model highly complex pricing arrangements quickly and accurately, you will go into contract negotiations knowing exactly what meets your criteria by using actual repriced claims data rather than sample claims data manipulated by mathematical formulas. Unlike other vendor solutions, NetworX Modeler can systematically transfer pricing schema into NetworX Pricer®, which expedites the deployment of new contracts into production claims adjudication workflows.
With NetworX Modeler, healthcare organizations can:
  • Automate complex, provider-specific contracting strategies
  • Perform “what-if” modeling for future contracts, as well as mid-term analysis of existing contracts
  • Integrate actual claims data for more accurate, provider-specific modeling
  • Immediately implement modeled pricing via pre-built integration with NetworX Pricer
  • Shorten the contract cycle and reduce contract modeling time
  • Reduce the time, labor and costs associated with contract analysis
  • Ensure all contracts and terms meet organizational requirements

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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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