Supporting Today’s Dynamic Healthcare Market
Connvertex provides support services for the QNXT Enterprise Core Administration System which is a rules-driven, highly configurable and scalable core administration solution with proven reliability & flexibility.
The thing that makes QNXT a perfect rules-driven solution for Healthcare payers, is the fact that a single core platform can support multiple lines of business, including everything from, Individual to Commercial, Duals, Medicaid, Medicare to Consumer-Directed Health & Specialty.
TriZetto QNXT comes with a full solution suite of modules as well as a vast array of functions, needed by a payer organization to successfully manage its operations & data, including:
- Risk/Capitation Fund Management
- Re-Pricing of Claims
- Premium Billing
- Provider Network Management
- Medical And Specialty Claims Processing
- Referral Management
- Membership/Group Administration
- Case Management
- Hospital And Medical Pre-Authorization
- Electronic Data Interchange (EDI)
- Customer Service