Enterprise Solutions

Healthcare InfoTech has extensive experience with the industry’s leading commercial Claims Processing systems

Health Insurance Companies Served

100+

Blue cross

25

Some of our many Enterprise Solutions 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

The following highlights some of the Claims Systems and related products we specialize in implementing

Cognigent

Healthcare InfoTech consultants also have deep expertise with other TriZetto products designed to meet a broad range of health plan operational needs

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 Pricer®
  • NetworX Modeler®
  • CareAdvance Enterprise®
  • Claim Test Pro™
  • TriZetto® Workflow®
  • TriZetto® TranZform®
  • Facets® and QNXT® Dental®
  • ITS

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)

Hedge

Healthcare InfoTech consultants supported one of the premier installations of HealthRules® Payer

Nasco

Healthcare InfoTech consultants assisted in implementing NPS and ClaimsXten™ at a major BCBS company

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

Other customer engagements we have performed include:

  • MembersEdge® (Enrollment and Billing)
  • BenefactSM (Benefit Configuration)
  • NCompassSM (Member and Provider Management
  • AI.me SM (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.