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Zelis harnesses data-driven insights and human expertise at scale to optimize every step of the healthcare payment cycle.
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Facets is a modular system integrating consumer, care, claims and revenue management to help organizations meet their business goals.
Custom robotic process automation solutions scaled for the middle-market
Veradigm understands that managed care organizations, pharmacy benefit managers (PBMs), insurance companies, health plans, and other payers need to balance controlling costs with the goal of providing the highest quality of care and optimizing health outcomes for their members.
NaviNet Open Foundation consists of a series of layers: a platform, a set of network services, a suite of reimbursement-related and clinical applications, and a set of tools that customers can use to configure and customize the system.
TriZetto offers consulting, IT, and business process solutions to streamline the deployment and adoption of technologies and improve operations for payers and providers in the health care industry. TriZetto solutions are designed to improve efficiency, accuracy, compliance, and results throughout the health care system.
Veradigm Payerpath® is an Internet-based suite of solutions that addresses every step in the reimbursement cycle.
Clinical Decision Support (CDS) system is a next-generation decision-support solution available to providers today.
Claims and benefits administration solution for health plans managing & processing. Provides the patented configuration feature.
QuickCap is an advanced healthcare claim processing system built for IPAs, PHOs, MSOs and other management organizations. It is designed to process EDI and manual claims, capitation, eligibility, referrals, authorizations, premium billing, case management and other healthcare related items.