Medicare Blog

what are the, facets, qnxt data in medicare

by Glen Greenfelder DVM Published 2 years ago Updated 1 year ago

What is qnxt health plan management?

Agile Health Technologies Inc. is a healthcare information technology company offering specialized business and technology solutions and services in product areas such as FACETS and QNXT for our Health Plan clients. FACETS, one of the flagship products of Trizetto, is an excellent Health Plan core administration solution.

How do I find the primary coverage for qnxt?

An Agile healthcare consulting company is an information technology organization offering specialized business and technology solutions and services in product areas such as FACETS and QNXT for our Health Plan clients. QNXT, one of the flagship products of Trizetto, is an excellent rule-driven end to end Health Plan core administration solution. However, like any enterprise …

What is qnxt enterprise core administration system?

Jan 04, 2016 · The combination of TriZetto Facets, QNXT and CareAdvance managing a health plan’s structured data along with a robust ECM system managing unstructured documents and content truly is a killer app for health plans. Killer apps are so compelling, they change the way we think about serving our customers. Are you ready? Let me know at [email protected]!

Why choose qnxt?

Jul 31, 2018 · TriZetto QNXT is a longstanding leader in Healthcare administration platforms, supporting many lines of business including Medicare and Medicaid. An important function of QNXT is its strength in claim pricing, member administration and billing management. However, the provided QNXT toolset lacks flexibility in adapting to new processing requirements.

What are facets in healthcare?

Facets is an enterprise-wide core solution that automates claims processing, billing, care management and network management workflow. But getting the most out of Facets requires configuring it to best meet the needs of your organization, testing processes before they go live and ensuring full security.

What is Qnxt database?

QNXT™ Claims Workflow helps healthcare organizations manage claim inventory more efficiently by automating the process of prioritizing, triaging and reducing pended and exception claims. The result is streamlined claims adjudication management, reduced costs and improved speed, accuracy, efficiency and compliance.

What is facets workflow?

The Facets Workflow application is an automated solution that streamlines the delivery of work to users, helping to improve critical business processes and automate manual tasks. This can help you reduce errors and administration, improve efficiency and enhance customer satisfaction.

What is Qnxt configuration?

The QNXT Configuration Solution can help improve configuration consistency and reduce the manual effort involved in implementing configuration changes. The solution includes functionality to control, manage and successfully execute configuration modifications and promotions. Configuration Management Tool for QNXT.

What is cognizant Qnxt?

The QNXT Enterprise Core Administration System is a configurable, rules-driven, end-to-end core administration solution with demonstrated scalability, flexibility and reliability.

Who owns facets claims processing?

Agile Health Technologies Inc. is a healthcare information technology company offering specialized business and technology solutions and services in product areas such as FACETS and QNXT for our Health Plan clients.

What is facets tester?

Answer : Facets is a healthcare tool which is used to process medical and hospital or facility claims. This is owned by cognizant and Indian based company which is listed in NASDAQ.

What are facets in technology?

There are six crucial facets in this model: technology evaluation, product and process integration, planning, implementation, training, and change.

ESTABLISH A STRONG ADMINISTRATIVE FOUNDATION

Adopt next-generation core administration technology to drive growth, increase efficiency, enable compliance and support new business models.

POSITION YOUR ORGANIZATION FOR GROWTH AND SUCCESS

The Facets Core Administration platform, trusted by more than 75 healthcare organizations, consists of a rich set of modules that allow payer organizations to meet their business requirements while positioning them for growth and change.

FEATURED WORK

Our TriZetto® Facets® core administration platform replaced GHP’s existing 20-year-old system for more cost-efficient processing.

FACETS MODULAR ADD-ONS

Real-time delivery of claims and customer service items, reducing bottlenecks an ...

What does Trizetto Facets, QNXT and CareAdvance users really want and need?

So, what about the killer app? What TriZetto Facets, QNXT and CareAdvance users really want and need is all data and documents available right from within the TriZetto Interface. No searching, no looking in file shares, or SharePoint or someone’s desk.

Do health plans have faxes?

Unfortunately, health plans include documents, faxes, emails, letters, paper claims, appeals, applications, portal requests, screen prints and other information that do not fit nicely into structured rows and columns. This unstructured data is a challenge for most, if not all, health plans today.

What is QNXT in healthcare?

TriZetto QNXT is a longstanding leader in Healthcare administration platforms, supporting many lines of business including Medicare and Medicaid. An important function of QNXT is its strength in claim pricing, member administration and billing management. However, the provided QNXT toolset lacks flexibility in adapting to new processing requirements. For example, it would be difficult to perform member lookup and replacement prior to processing through QNXT’s modules.

What is a T-Connect?

T-Connect is a solution designed to integrate with existing infrastructure providing a robust set of APIs, EDI databases, workflow engine and management portal allowing for rapid implementation of complex workflows. T-Connect was built from the ground up focused on native X12 EDI support, allowing for parsing, validation, splitting, and conversion of EDI to CMS 1500 form (PDF), along with many other features. Several implementation scenarios are supported, such as an in-place connector into BizTalk and QNXT.

More about our Facets Consultants

Our Facets consultants, on average have at least 5-7 years of operational experience working with the product. Most also come with 10-20 years of experience in healthcare. They’ve worked as case managers, claims adjusters, and auditors. Many even have past experience as nurses or physicians.

Areas of Expertise

TRIZETTO®, Facets™, CareAdvance®, and NetworX PRICER® are trademarks owned by The TriZetto Group, Inc. Blue Eagle Consulting is not affiliated with The TriZetto Group, Inc. and The TriZetto Group, Inc. neither sponsors nor endorses our materials, goods or services.

PREREQUISITES

This software release is being delivered via .msi installation files. Refer to the

INSTALLATION

The following information provides component/server installation requirements.

CHANGE PACKAGE SUMMARY

DESCRIPTION: This modification addressed a defect. There were two issues reported

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