Case Study

Automated claims lead to increased market share

Automated claims lead to increased market share

Pages 4 Pages

Challenge Improve claims processing speed and accuracy during growing demand for health services in a manner consistent with the broad data compliance and security requirements of a client serving a government customer. Products and Services TriZetto®Facets® NetworX Pricer® Success Highlights Achieved claims auto-adjudication level of 94% within the initial months post-implementation, an increase of more than 30% • Achieved an accuracy rate of 98% for claims processing • Auto-adjudicated over seven million claims in the first year of operation • Addressed the government client’s compliance requirements with the deployment of the Facets core ad- ministrative platform in the Microsoft Azure TM Government Cloud The chal

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