As payers redefine their relationship with their hospitals and providers, contracts grow more complex. Many core systems struggle to keep up with these changes, forcing payers to rely on manual processes. The result is lost productivity, higher cost and more errors.
NetworX Pricer® automates the processing of complex payment methodologies for payers and providers. With a library of more than 350 calculations and 125 qualifiers, payers can create complex contracts easily while ensuring greater speed, accuracy and efficiency of contract administration. NetworX Pricer interfaces with Facets®, QNXT™ and non-TriZetto® core systems, and can be used as a central pricing engine for multiple source claims systems.
Benefits include:
- Achieves up to 90% pricing automation
- Increases first time pass rate
- Reduces or eliminates the need for manual claims pricing
- Saves as much as 30% on labor costs
- Reduces by as much as 75% contract configuration time
- Handles the most complex scenarios
- Scales to meet the needs of even the largest payer organizations
