As hospital and provider contracts grow more complex, many claims systems can’t keep up. To price claims, many payers are forced to rely on time-consuming manual processes, resulting in lost productivity, more errors and greater cost.
TriZetto provides an easy-to-use solution in TriZetto® NetworX Pricer®, a Java-based application that integrates with your legacy claims systems. The NetworX Pricer application automates claims pricing for even the most complex provider contracts. With this patented and patent-pending application, you can manage more sophisticated contracts easily, process claims faster, minimize inconsistencies and reduce errors. With NetworX Pricer you can:
TriZetto’s NetworX Pricer application can help you achieve dramatic results, but you’ll see results faster when you combine this solution with TriZetto Advantage Services®. That’s because no one has more experience managing and implementing TriZetto applications than TriZetto itself. With TriZetto Advantage Services, you’ll experience easier implementations and integrations, smoother process transitions and faster business transformation. That translates to measurable results and a competitive edge. Learn more about TriZetto Advantage Services now.
TriZetto has developed an analytical model that helps health plans recognize the value that can be gained by automating claims pricing with TriZetto NetworX Pricer.
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As a leading provider of healthcare IT solutions for payers and providers, TriZetto delivers innovative claims management systems, clinical care management solutions, core administration software and network management solutions that help reduce costs, streamline administration and improve the quality of care. TriZetto’s leading edge solutions are helping to transform the healthcare industry by better aligning health insurance incentives, speeding healthcare claim processing, promoting value-based benefits, improving population health management, and reducing the cost of claims processing services and supporting the accountable care organization.