The TriZetto NetworX Suite ensures timely provider reimbursements, better member experiences and the ease of telehealth reimbursements. Kern Health Systems (KHS) is a managed care health plan headquartered in Bakersfield, California. The plan serves recipients of Medi-Cal, California’s Medicaid program for low-income individuals in Kern County. KHS is the largest health plan in the county, processing 240,000 claims per month—a number steadily increasing due to COVID-19. The challenge During the pandemic, there was a rapid increase in Medi-Cal members as employees cycled off their company-sponsored healthcare and state eligibility guidelines relaxed.

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