A Cognizant Healthcare BPaaS client collaborated with us to evaluate the systems and processes used to administer its health plan, determine how to best serve its members better and expand its business. A joint evaluation revealed several claims processing pain points, including a troublesome first-pass resolution rate and low auto-adjudication rates. To address the challenges, an upgrade to the current version of the TriZetto® Facets® core administration platform was implemented and TriZetto® NetworX Pricer® was added. The new solution delivers the following business and operational benefits: • Ability to leverage modern technologies such as machine learning (ML) and automation

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