networx pricer

ZDNet Resources

• sort by:
• Relevance
• Date
• Popularity

How to Make Money in Network Management

A large national MCO wanted to lease parts of its provider network in order to increase revenue; but the payer's multiple legacy systems were already at capacity and couldn't take on the added work of pricing claims for leased portions of the network. Pricing these external claims manually or outsourcing...

Tags: Network, Pricing Strategy, Network Management, NetworX Pricer, Pricing, Marketing Research, Hardware Upgrade, Networking, Marketing, Hardware

Case studies 2009-01-01

Additional Resources

Case Study: Great Lakes Health Plan Implements the TriZetto Network Pricer Application

Great Lakes Health Plan GLHP is the second-largest Medicaid managed health plan in Michigan, serving more than 155,000 members. GLHP needed a solution that would automate the pricing of OPPS claims and meet state compliance standards, support efforts to strengthen provider relations, implement rapidly and without interrupting provider reimbursements, integrate...

Tags: Compliance, Health Care, Great Lakes Health Plan, Healthcare, Vertical Industries, Benefits, Enterprise Software, Software, Human Resources

Case studies 2008-03-01

Caresource Streamlines Pricing With TriZetto Networx Pricer and Improves Financial Analyses of Proposed Contracts With TriZetto Networx Modeler

CareSource Management Group provides services for the administration of public-sector healthcare programs that serve Medicaid enrollees in Ohio and Michigan. When CareSource Management Group was formed in 2002, executives recognized that, in order to improve efficiency and support growth, the organization would need to increase automation in key administrative areas,...

Tags: Financial, Pricing Strategy, Networx Inc., Pricer AB, Caresource, CareSource Management Group, Pricing, Marketing Research, Marketing

Case studies 2007-01-01