McKesson Health Solutions and TriZetto have agreed to integrate their claims auditing and administration platforms.
McKesson's ClaimsXten and ClaimsXten Select help payers automate auditing processes for clinically-based claims. TriZetto's QNXT is an enterprise-wide claim administration system. By combining the two platforms, McKesson and TriZetto hope to simplify the management of increasingly complex clinical and reimbursement policies.
"This new integration will help health plans boost auto-adjudication rates, minimize manual effort and take advantage of industry-leading clinically sourced content to provide timely and consistent reimbursement of claims," said Alan Stein, senior vice president of payer product management for TriZetto.