The TriZetto® QNXT™ Core Administration System can be used to help increase competitiveness, improve efficiency and drive performance for payers managing the following lines of business:
The QNXT system is scalable to meet the demands of payers of any size, from small community plans to organizations that serve millions of members.
The QNXT system provides capabilities for:
QNXT Dental functionality enables payer organizations to successfully administer all lines of dental business. QNXT Dental enables you to:
QNXT consumer-directed health (CDH) functionality provides automated, cost-effective and accurate administration of FSA, HRA and HSA benefit plans. With the QNXT system, payers can:
For payers with members in Medicare or Medicaid, TriZetto’s QNXT system provides the functionality needed for handling enrollments, processing claims and managing care.
QNXT provides comprehensive functionality for administering Medicare lines of business and integrates easily with TriZetto Medicare Solutions. When the QNXT system is used with TriZetto Medicare Solutions to automate key processes, this powerful combination can help you:
The QNXT system also provides rich functionality for plans serving Medicaid members. Using QNXT to serve your Medicaid population, you can efficiently handle claims processing, enrollment, medical management and workflow processes that are unique to Medicaid. Additionally, pairing the QNXT system with TriZetto’s CareAdvance Enterprise® solution delivers comprehensive support for disease management and care coordination, helping improve outcomes and reduce costs.
Reducing healthcare costs and improving quality through TriZetto technology-enabled solutions. Read the impressive results.
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TriZetto is a leading provider of healthcare technology for payers and providers. TriZetto facilitates integrated healthcare management with comprehensive solutions for core administration, health insurance claims processing, care management, IT hosting services, Medicare solutions and more. TriZetto’s innovative claims processing software streamlines claims administration to reduce costs and improve revenue cycle management.