Optimize provider pricing terms with NetworX Modeler
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 Pricer and NetworX Modeler solutions provide a single source of claim to pricing across all lines of business, as well as greater consistency, accuracy and improve provider satisfaction.