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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:
Our TriZetto NetworX Modeler solution provides end-to-end transparent solution for the creation and execution of accurate pricing agreements for a major healthcare organization, while streamlining workflows and ensuring organizational efficiency.Learn more