NetworX Pricer®, Modeler Better communication Eliminate costly research and improve relations by providing detailed info on how pricing was derived. Market Need NetworX Solution Accuracy of payments Automatically and accurately calculate payment. NetworX Modeler® Model provider reimbursement contracts during negotiations or interim check points Utilizes actual claim history from singe or multiple sources NetworX Payment Bundling Administration™ Automate new bundle payments that involve multiple providers over period of time Offers 30+ bundle definitions covering acute to chronic conditions Licensing agreement with HCI3 Prometheus Payment™ Modeler Pricer Payment Bundling Administration All three are core neutral and can integrate with multiple core systemsĤ Achieving Balance Greater Automation Greater Cost Controlīoilerplate contracts With higher auto- adjudication rates But with higher medical costs Greater Cost Control Unique contracts for each provider Maximizing medical cost savings But with lower auto- adjudication rates The NetworX Way Enable sophisticated contracts And increase automation And lower financial risk And win provider loyaltyĥ NetworX Suite®: Solving Today’s Problems Integrated Provider Reimbursement Solutions NetworX Pricer® Pricing solution to automate even the most complex provider contracts Eliminates errors and increases automation. 2 NetworX Integration Lee Paulus, Director Product Management, QNXTĬarolyn Keadle, Sr.

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