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REVELOHEALTH automates real-time re-pricing with TriZetto

REVELOHEALTH automates real-time re-pricing with TriZetto

REVELOHEALTH automates real-time re-pricing with TriZetto

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3 Pages

To launch an innovative standalone claims re-pricing solution called REPricity for third-party administrators, ReveloHealth collaborated with Cognizant. Cognizant deployed its advanced TriZetto QicLink, TriZetto ClaimsExchange, and TriZetto NetworX Pricer software solutions to establish a powerful technical foundation. This powerful software integration enabled automated, real-time claims processing, sophisticated member matching, and round-the-clock insights. By eliminating manual intervention, the platform achieved nearly 100 percent automation, boosted first-pass accuracy to 98 percent, and increased participating provider claims matching to 97 percent, successfully driving unprecedented operational efficiency and cost savings for the healthcare company.

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