TriZetto says that its software automatically prices claims against provider contract terms, to speed the claims process and increase overall efficiency. Using NetworX Pricer, the health plan can automate over 90% of claims pricing, and reduce the time it takes to set up and maintain provider contracts in its system.

With NetworX Pricer, health plans can speed claims processing by eliminating the costs, potential errors and inconsistencies of pricing claims manually, said Jeff Hensley, chief technology officer of TriZetto. Our software allows customers to use a wide array of discounting methods to better manage medical spending.

CareFirst is the 33rd TriZetto customer to purchase NetworX Pricer.