Cognizant Trizetto Software Group, Inc.

Trizetto Corporation

Howard Downs

Dale Hoerle

Jay Sultan

A system and process for prospectively creating patient episodes of care and triggering associated payment bundles during the claim adjudication process facilitates real-time claim pricing in accordance with payment bundle rules to facilitate episodic payment in place of pay-for-service payment. Additionally, various processes are described for modeling patient episodes and payment bundles and unbundling episodic payments.

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Northfield, IL, United States of America

Howard Downs