|
|
|
|
ACTEK is a TriZetto partner selected to provide a comprehensive commission and incentive compensation solution to the QNXT customer base. ACTEK's products deliver the power and flexibility to fully automate the commission and bonus payout function with support for brokers, agencies, internal sales staff and management.
The best-executed commission programs deliver timely and accurate results while offering the flexibility to support diverse business relationships across your producer population.
ACTEK's ACom3 software automates commission and compliance management for agents, brokers, and other producers and delivers value by reducing operational costs, ensuring compliance, and supporting corporate compensation strategy. Highly scaleable and with an intuitive Internet interface, ACom3 incorporates the lessons learned from 20 years of developing software for the health insurance industry.
|
 |
Cincom Document Solutions (document automation division of Cincom Systems, Inc.) provides the most-intuitive dynamic document automation solutions in the industry. From interactive generation of claims correspondence to fully-automated archive and retrieval of policies, our software solutions have helped hundreds of insurers worldwide strengthen member relationships, minimize compliance risks, and reduce operating costs by streamlining the design, deployment, delivery, and management of high-volume, personalized document communications. With over two decades of experience, Cincom Document Solutions leads the industry in providing dynamic document solutions that are easy to use, seamlessly integrate in legacy environments, and deliver rapid and continuous return on investment.
|
|
ClearCycle has been a leading claims disbursement solution provider utilized by many progressive healthcare payers for more than two decades. The ClearCycle systems settle and processes over $1 billion per day. ClearCycle delivers effective output management and financial controls and systematic handling of claims and financial payment adjustments including overpayment recovery.
ClearCycle's Universal Claims Disbursement System© (UCDS©) is a comprehensive back-end financial solution that handles all aspects of paying electronic & paper claims and managing financial information including a member/provider payment portal. ClearCycle will help you reduce administrative costs by allowing members, providers, and employer user communities to access the disbursement information directly.
|
|
Convey's comprehensive Web-based and desktop solutions provide value to institutions engaged in Banking and Wealth Management and Tax Information Reporting. Convey offers several solutions in Tax Reporting beginning with its desktop offering, 1099Convey.
1099Convey prepares year-end wage and payment information returns electronically, magnetically or in print, supporting 1098, 5498, W-2, W-2G and all 1099 versions and correction forms. 1099Convey offers multiple purchase levels, beginning at one user to file up to 3,000 transactions and costs $495, with renewals available for $350. Network and high-volume licenses are available. Convey offers more robust solutions that encompass state reporting, TIN Compliance, 1042-S filing and many service options including print services.
|
|
Eliza Corporation's phone-based, speech-enabled programs will be an integrated part of the TriZetto CareAdvance platform. Our proven approach enables healthcare organizations to cost-effectively communicate with the people they serve – driving ongoing behavior change that leads to measurable clinical and financial outcomes. Throughout our more than 200 million calls, we have developed a unique evidence-based methodology on how to design these interactions to be personal, relevant, and effective.
Eliza leads the market with the strongest track record of innovation and outcomes, the broadest range of proven programs, and the most comprehensive suite of patented technologies and approaches. Clients include nine of the top ten largest national health plans, four of the top five disease management companies, three of the top four pharmacy benefit managers, six of the top ten pharmaceutical companies in the nation, as well as large employers and leading third party administrators. Visit www.elizacorp.com or call 978-921-2700.
|
|
Emptoris provides contract management software that delivers greater control and more profitable contracts for some of the world's largest, most contract-intensive enterprises. With Emptoris' solutions, organizations are able to create stronger agreements, cut claim reprocessing costs, and improve compliance. Emptoris Contracts also plays an integral role in companies' risk management and corporate governance programs. Leading healthcare payers such as United Healthcare and CIGNA depend on Emptoris Contracts. For more information about Emptoris solutions, visit www.emptoris.com or call 1-888-496-2600.
|
|
Healthwise is a nonprofit organization that helps people make better health decisions. Implement the Healthwise® Ix® Solution-with TriZetto's Personal CareAdvance and Clinical Care Advance care management-to help people do more for themselves, ask for the care they need, and say "no" to the care they don't need. Key and Smart Campaigns can help reduce costs and improve health care quality and staffing. Talk to TriZetto representatives, or contact Healthwise at www.healthwise.org (800) 706-9646.
|
|
Ingenix unites the brightest minds to transform organizations and improve health care through information and technology. Together with our clients and business partners, Ingenix is improving the affordability, quality, usability, and accessibility of health care.
Health plans integrate numerous TriZetto and Ingenix solutions to drive efficiency into claims adjudication, pricing and care management processes. Ingenix data, analytics, and software can help health plans streamline claims processing workflows, reduce reimbursement errors, improve payment integrity, manage risk, optimize provider contracting, and target health care services to those members who will benefit most.
Today there is an Ingenix solution at work in nearly every U.S. health care organization. Learn more at Ingenix.com or call (800) 765-6713.
|
|
Innovative Health Solutions, an ACCURO Company, is a leading provider of nationally recognized coding, compliance, reimbursement and decision support solutions. IHS provides Medicare Grouper and Pricer systems for over half of the Payors.
IHS groupers and Pricers are accurate, fast, affordable and run on all platforms. TriZetto’s NetworX applications can be configured to use IHS’ Medicare Groupers and Pricers.
IHS is strategically aligned with 3M Health Information Systems to distribute 3M's comprehensive product line of grouper software to payers including the APRDRG and CRG Groupers.
For more information, visit us at www.innovativehealthsolutions.com or call toll free 866.822.6700.
|
|
MBI Benefits, a Metavante Healthcare Payments Solutions company, offers a consumer-directed health benefits payment platform plus the country's #1 employee benefits card - electronically accessing FSAs, health reimbursement arrangements (HRA), health savings accounts (HSA), transit/parking accounts and dependent care accounts. Metavante provides medical identification cards, combination eligibility/payment cards, and the ability to access multiple benefits accounts from a single card. Metavante also provides a comprehensive payment platform that provides all the technology a financial institution, health insurance company, third-party administrator, or commercial business needs to offer these accounts. To learn more, visit www.metavantehealthcare.com.
|
|
McKesson Corp. is the country's largest healthcare services company and the market-leading provider of code auditing solutions. Our ClaimCheck® code auditing solution is powered by McKesson's massive clinical knowledgebase, refined through nearly 20 years of use by plans of all sizes across the country, and applied to billions of claims.
ClaimCheck reviews claims against our sourced, credible knowledgebase to identify mismatches - coding combinations that authoritative sources have declared improbable or unacceptable. This McKesson solution helps plans improve operations through increased auto-adjudication, enhanced productivity and reduced administrative costs.
ClaimCheck's expanded editing flexibility enables plans to manage healthcare claims according to medical and business policies. It offers TriZetto customers a direct pathway to rules-based adjudication to better "mirror" their organization's specific policies, improve accuracy, reduce manual reviews, and reimburse providers more efficiently. The combined, powerful performance of McKesson's ClaimCheck auditing solution with TriZetto's Facets system can help health plans meet and even exceed their claims performance objectives.
For more information, please visit McKesson.com website or call us at 800.782.1334.
|
|
Micro-Dyn Medical Systems, Inc., founded in 1989, specializes in software products for healthcare claim DRG calculation, APC assignment, Medicare reimbursement calculation, data editing, and validation to Medicare specifications. Our customers include health plans, hospitals, healthcare software vendors, and companies like yours!
Our expertise grew out of our work on the original installations of DRGs and the Inpatient Prospective Payment System (PPS) used by Medicare contractors beginning in 1983. Our DRGActive™, APCActive™, and PRICERActive™ software and data editing components integrate seamlessly with your QNXT installation to easily add data validation, DRG/APC calculation and Medicare reimbursement capability.
|
|
The Milliman Care Guidelines® are clinical decision support tools used for treating specific patient conditions with appropriate levels of care and optimal progression toward discharge or transition. Developed by clinical experts, they provide a focused summary of the current best evidence, reflecting the actual practices of care providers throughout the United States, as well as the latest medical literature. Designed to be used in conjunction with healthcare professionals’ clinical judgment, the Care Guidelines provide up-to-date, evidence-based knowledge, enabling more informed, consistent decisions and promoting the best possible care management. For more information, visit www.careguidelines.com.
|
|
Sanovia integrates smart business practices with automated decision-making technology and best-practice clinical guidelines, delivering savings in administrative costs and in pharmaceutical spending on high-cost/specialty pharmaceuticals. Sanovia and TriZetto have partnered to deliver the first pharmaceutical utilization management solution that truly integrates real-time data access in order to automate and simplify the pre-authorization process for high-cost/specialty pharmaceuticals.
Sanovia's PA-Logic™, a pharmaceutical workflow and clinical decision making tool, including its front-end ePA-Logic™, Web portal, is integrated with TriZetto's Facets® and QNXT core systems. This integrated partner product increases administrative efficiency and staff productivity while improving the cost, quality and appropriateness of care in pharmaceutical management.
Sanovia is privately held and venture-backed, with no ownership by any pharmacy benefit manager, health plan or pharmaceutical manufacturer. Headquartered in Philadelphia, find out more about Sanovia at Sanovia.com.
|
|
|
Information
|
|
For more detailed information, please call 1-800-569-1222 or click on the link below.
|
|
|
|
| Home
| Contact Us
| Site Map
| Search |
