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Increasingly complex contracts and intense financial pressures have made network management and data analysis critical to a health plan's success. The NetworX Suite™ is a group of software applications that provide complete automation of contract modeling and execution, claims pricing, and all aspects of network operations that can help maximize the value of your provider networks and contracts while reducing administrative costs.

NetworX Modeler® allows you to precisely model and project the financial implications of contracts during negotiations.

NetworX Modeler Analytics™ - This application, currently in development and available for Early Adopters, will enable healthcare payers to develop customized, actionable reports and conduct sophisticated “what-if” analyses that guide contract negotiations with providers. NetworX Modeler AnalyticsTM integrates technology from QlikTech, a leading business intelligence company, to provide additional and faster ways to drill down and across provider data to determine favorable rates for contract renewals .

NetworX Pricer® automates claims pricing, increasing the speed, accuracy, and efficiency of provider contract administration, regardless of the number or complexity of contracts.

The Benefits of NetworX Suite:

  • Increases automation of your network management processes, thereby reducing medical and administrative costs.
  • English language-based interface allows the applications to be easily accessible and understandable.
  • When NetworX Pricer is used in combination with NetworX Modeler, you can auto-load the contracts that you've negotiated through the modeling solution. This eliminates the need to rebuild contracts and increases processing speed and accuracy


Information
For more detailed information, please call 1-800-569-1222.

Partner Solutions
Latest News:

More Information:

NetworX Modeler: Negotiate innovative provider contracts quickly and cost-effectively
NetworX Modeler Analytics: Turn Analysis into Action
NetworX Pricer: Automation to increase operational efficiency

Network Management Solutions:


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