Use clinical logic to identify and reprice claims based on episodes of care
Our TriZetto® NetworX Payment Bundling Administration (PBA) solution effectively addresses value-based reimbursement challenges. A comprehensive software that enables payers to develop and administer highly automated prospective and retrospective payment bundling programs, PBA can help improve the cost and quality of care while enhancing payer/provider relations through efficient reimbursement. The solution seamlessly integrates with Facets®, QNXT™ and non-TriZetto core administration systems to aggregate and price bundles used in value-based contracting. Working in real time during the claims adjudication workflow, the solution also identifies quality and efficiency indicators.