Core Administrative Processing Systems (CAPS) Solutions

Healthcare InfoTech has extensive experience with the industry’s leading commercial Core Administrative Processing Systems

Some of our engagements have included:

  • System Evaluation and Selection
  • Claims System Assessment
  • New Implementation of Claims System
  • Upgrade Assessment
  • Version Upgrade Support
  • Claim System Reconfiguration
  • Claim System Performance Assessment
  • Performance Tuning
  • Technical Troubleshooting

Cognizant’s TriZetto healthcare products offer customers solutions for Core Administration as well as a broad range of integrated modules and utilities.  These solutions allow you to administer plans across all lines of business including Commercial, Medicare, Medicaid, Individual/Small Group, Vision, Dental, Specialty and Consumer Directed.

Healthcare InfoTech has extensive experience with:

  • Facets®
  • QNXT® 
  • TriZetto®   QicLink Enterprise™
  • NetworX®

HealthRules® Payer is HealthEdge’s next generation Software as a Service (Saas) Core Administration solution.  HealthRules® Payer supports commercial, Medicare, Medicaid, Individual, TPA, Dental and Blue Cross Blue Shield lines of business.

Integrated products include :

  • HealthRules® Payer
  • HealthRules® Answers
  • HealthRules® Connector
  • Source (Payment Integrity)
  • GuidingCare® (Care Management)
  • Member Experience (Wellframe)

The NASCO Processing System (NPS) processes claims for Commercial, Medicare, Medicaid, Small Group, Large Group, ASO, Individual and Dental lines of business.

Integrated modules and utilities include :

  • MembersEdge® (Enrollment and Billing)
  •  BenefactSM (Benefit Configuration)
  •  NCompassSM (Member and Provider Management)
  •  AI.meSM (Artificial Intelligence Engine)

The company and product names used in this website are registered trademarks of the respective owners.  Mention of these product names is with due recognition and without intent to misappropriate such names or marks.