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Hospital and provider contracts have become increasingly complex for many claims systems. As a result, most health plans have been forced to rely on intensive manual processes to price claims. It's a difficult, inaccurate, and time-consuming process.
TriZetto's NetworX Pricer is a Java-based application that integrates with all of your legacy claims systems. NetworX Pricer will automate your claims pricing, whether you use one core system or multiple applications, and it can handle even the most complex provider contracts.
The benefits of NetworX Pricer:
- NetworX Pricer supports greater contract sophistication, specificity, and processing speed, while eliminating inconsistencies and errors in pricing of providers' claims.
- NetworX Pricer support ICD-10 compliance regulations.
- Current users are experiencing 90-to-100 percent automation rates, with 100 percent accuracy, which results in administrative cost savings and reduced over-payments.
- Customers report labor cost savings of 50 percent and more in provider contract set-up and maintenance - and if used in combination with NetworX Modeler, you can save up to 100 percent.
- Improves provider satisfaction with timely, accurate claims pricing.
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Information
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For more detailed information, please call 1-800-569-1222. |
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