The Optum Prospective Payment Systems (PPS)* software application, an integrated partner product, maps, groups and prices facility claims to ensure appropriate reimbursement. More than 30 federal-, state- and payer-specific payment systems are available in the PPS applications. The integration of all CMS Prospective Payment Systems (PPS) through a real time interface enables facility claims utilizing the CMS Prospective System (PPS) to be auto-adjudicated with NetworX Pricer for Medicare, Medicaid and commercial lines of business.  The results for payers are streamlined claims-processing workflows, reduce reimbursement errors and improved payment integrity.
*Ingenix is now OptumInsight, part of Optum™ – a leading health services business.

QlikTech’s QlikView® offering is integrated with TriZetto’s NetworX Modeler Analytics™ application to provide enterprise-class analytics and search, with the simplicity and ease-of-use of office productivity software. The in-memory associative search technology QlikTech® has pioneered makes calculations in real-time, enabling business professionals to gain insight through intuitive data exploration. The integration partnership will provide improved access to claims data and pricing, offer additional and faster ways to drill down and across provider data to determine favorable rates for contract renewals, and help reduce inefficiency in the provider contracting process. QlikTech and QlikView are registered trademarks of Qliktech International AB Corporation.

Partner Information Request

If you'd like to learn more about TriZetto business alliances and suppliers, please call 1-800-569-1222, or email us your company profile and contact information.