Case Study
Kern Health settles more claims faster with TriZetto
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.
