TriZetto Healthcare Products

JSON twin: https://www.healthaidb.com/software/trizetto-healthcare-products.json

Company Name

Cognizant

Product URL

https://www.cognizant.com/us/en/trizetto

Company URL

https://www.cognizant.com

Categories

• administrative Operations
• clinical Care
• patient Facing
• diagnostic Support
• data Integration
• care Management
• specialty Care
• insurance
• Administrative
• Clinical
• Diagnostic
• Interoperability
• Specialty Healthcare
• Medicare
• Medicaid
• Individual & Small Group

Summary

TriZetto Healthcare Products by Cognizant offer a comprehensive suite of software solutions designed to streamline healthcare administration, enhance operational efficiency, and improve patient and member experiences across various healthcare sectors.

Description

TriZetto Healthcare Products, developed by Cognizant, provide a range of software solutions aimed at optimizing healthcare administration. These solutions support payers and providers in managing claims, care, and member services, serving over 200 million members and 875,000 providers. The portfolio includes core administration platforms like Facets® and QNXT™, interoperability solutions, care management tools, and specialized products for individual and small group markets, Medicare, Medicaid, and specialty plans. Additionally, TriZetto integrates advanced technologies such as generative AI to enhance operational efficiency and decision-making processes. The platform is hosted on Microsoft Azure, ensuring secure and compliant cloud-based operations. TriZetto's offerings are designed to reduce administrative burdens, automate high-volume tasks, and support diverse healthcare needs, contributing to improved patient outcomes and satisfaction.

Api Available

yes

Certifications

• FDA 510(k)
• CE/MDR
• ONC
• ISO 27001

Company Founding

1994

Company Offices

• United States
• India
• United Kingdom
• Canada
• Australia
• Germany
• France
• Singapore
• Japan
• China

Compliance

• HIPAA
• SOC 2 Type II
• HITECH
• ISO 27001

Customers

Data Residency

US/EU regions

Data Standards

• FHIR
• HL7 v2
• DICOM
• SNOMED
• ICD-10

Deployment Model

• SaaS

Features

• Claims and clinical data aggregation
• HEDIS reporting support
• Care gap identification
• Provider engagement tools
• Quality management analytics
• Value-based care analytics
• Clinical data management
• Regulatory reporting
• Population health management
• Chronic disease management
• Payer operations support

Id

SW2408

Integration Partners

Integrations

• TriZetto QNXT
• TriZetto Facets
• TriZetto Elements
• Provider network systems (ADT feeds)
• Payer core administration systems
• EHR systems (generic EHR integration/adapters)

Languages Supported

• English

Last Updated

2025-10-11

License

commercial

Market Segment

• enterprise
• smb
• consumer

Optional Modules

• ClaimSphere Clinical+
• ClaimSphere QaaS (Quality as a Service)
• IFaceCDX clinical integration engine

Os Platforms

• Web

Pricing Details

Contact vendor for pricing information.

Pricing Model

subscription

Privacy Features

• BAA available
• Consent management
• Anonymization
• Data minimization

Product Code

SW2408

Product Name

TriZetto Healthcare Products

Ratings

• 4.3 out of 5 on G2 for TriZetto QNXT
• 4.3 out of 5 on G2 for TriZetto Facets
• 4.5 out of 5 on G2 for TriZetto CareAdvance Provider

Regions Available

• United States

Related Urls

• https://www.aciworldwide.com/about-aci/partners/cognizant-trizetto
• https://www.signalhire.com/companies/trizetto-india-pvt-ltd
• https://members.coloradotechnology.org/memberdirectory/Details/cognizant-trizetto-healthcare-products-2242676
• https://elion.health/products/trizetto

Release Year

""

Security Features

• Encryption
• RBAC
• SSO/SAML
• Audit logs
• 2FA
• DLP

Specialties

• Behavioral Health
• Dental
• Vision
• Consumer-directed
• Medicare
• Medicaid
• Individual And Small Group
• Commercial
• Duals
• Specialty
• Third-party Administration

Support Channels

• email
• phone
• chat
• ticketing
• community
• 24x7

System Requirements

Target Users

• payers
• providers
• patients
• members
• care managers
• administrators

Training Options

• documentation
• webinars
• live_online
• onsite
• certification

Type

product

User Reviews

• Facets modules are centered around the Digital 360 suite
• Modular system and how it is integrated.
• User friendly ans straighforward. I like how i have access to do what i want
• We have been using Trizetto for many years now and have never run into any problems getting out claims out to insurances. Their website is very user friendly. Customer service is always very helpful and easy to get ahold of.
• The system is easy to find claims and EOB's from the insurance company.
• Programme facile à utiliser avec une navigation pratique, entièrement mis à jour et convivial.
• Claims processing
• Claims on hold queue and proof of timely filing is available easily

Version

1.0

Alternatives

See related products

Canonical JSON

{
  "product_name": "TriZetto Healthcare Products",
  "company_name": "Cognizant",
  "product_url": "https://www.cognizant.com/us/en/trizetto",
  "company_url": "https://www.cognizant.com",
  "related_urls": [
    "https://www.aciworldwide.com/about-aci/partners/cognizant-trizetto",
    "https://www.signalhire.com/companies/trizetto-india-pvt-ltd",
    "https://members.coloradotechnology.org/memberdirectory/Details/cognizant-trizetto-healthcare-products-2242676",
    "https://elion.health/products/trizetto"
  ],
  "product_code": "SW2408",
  "summary": "TriZetto Healthcare Products by Cognizant offer a comprehensive suite of software solutions designed to streamline healthcare administration, enhance operational efficiency, and improve patient and member experiences across various healthcare sectors.",
  "description": "TriZetto Healthcare Products, developed by Cognizant, provide a range of software solutions aimed at optimizing healthcare administration. These solutions support payers and providers in managing claims, care, and member services, serving over 200 million members and 875,000 providers. The portfolio includes core administration platforms like Facets® and QNXT™, interoperability solutions, care management tools, and specialized products for individual and small group markets, Medicare, Medicaid, and specialty plans. Additionally, TriZetto integrates advanced technologies such as generative AI to enhance operational efficiency and decision-making processes. The platform is hosted on Microsoft Azure, ensuring secure and compliant cloud-based operations. TriZetto's offerings are designed to reduce administrative burdens, automate high-volume tasks, and support diverse healthcare needs, contributing to improved patient outcomes and satisfaction.",
  "categories": [
    "administrative Operations",
    "clinical Care",
    "patient Facing",
    "diagnostic Support",
    "data Integration",
    "care Management",
    "specialty Care",
    "insurance",
    "Administrative",
    "Clinical",
    "Patient-facing",
    "Diagnostic",
    "Interoperability",
    "Care Management",
    "Specialty Healthcare",
    "Medicare",
    "Medicaid",
    "Individual & Small Group"
  ],
  "market_segment": [
    "enterprise",
    "smb",
    "consumer"
  ],
  "target_users": [
    "payers",
    "providers",
    "patients",
    "members",
    "care managers",
    "administrators"
  ],
  "specialties": [
    "Behavioral Health",
    "Dental",
    "Vision",
    "Consumer-directed",
    "Medicare",
    "Medicaid",
    "Individual And Small Group",
    "Commercial",
    "Duals",
    "Specialty",
    "Third-party Administration"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "subscription",
  "pricing_details": "Contact vendor for pricing information.",
  "license": "commercial",
  "company_offices": [
    "United States",
    "India",
    "United Kingdom",
    "Canada",
    "Australia",
    "Germany",
    "France",
    "Singapore",
    "Japan",
    "China"
  ],
  "company_founding": "1994",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Claims and clinical data aggregation",
    "HEDIS reporting support",
    "Care gap identification",
    "Provider engagement tools",
    "Quality management analytics",
    "Value-based care analytics",
    "Clinical data management",
    "Regulatory reporting",
    "Population health management",
    "Chronic disease management",
    "Payer operations support"
  ],
  "optional_modules": [
    "ClaimSphere Clinical+",
    "ClaimSphere QaaS (Quality as a Service)",
    "IFaceCDX clinical integration engine"
  ],
  "integrations": [
    "TriZetto QNXT",
    "TriZetto Facets",
    "TriZetto Elements",
    "Provider network systems (ADT feeds)",
    "Payer core administration systems",
    "EHR systems (generic EHR integration/adapters)"
  ],
  "data_standards": [
    "FHIR",
    "HL7 v2",
    "DICOM",
    "SNOMED",
    "ICD-10"
  ],
  "api_available": "yes",
  "system_requirements": "",
  "compliance": [
    "HIPAA",
    "SOC 2 Type II",
    "HITECH",
    "ISO 27001"
  ],
  "certifications": [
    "FDA 510(k)",
    "CE/MDR",
    "ONC",
    "ISO 27001"
  ],
  "security_features": [
    "Encryption",
    "RBAC",
    "SSO/SAML",
    "Audit logs",
    "2FA",
    "DLP"
  ],
  "privacy_features": [
    "BAA available",
    "Consent management",
    "Anonymization",
    "Data minimization"
  ],
  "data_residency": "US/EU regions",
  "customers": [],
  "user_reviews": [
    "Facets modules are centered around the Digital 360 suite",
    "Modular system and how it is integrated.",
    "User friendly ans straighforward. I like how i have access to do what i want",
    "We have been using Trizetto for many years now and have never run into any problems getting out claims out to insurances. Their website is very user friendly. Customer service is always very helpful and easy to get ahold of.",
    "The system is easy to find claims and EOB's from the insurance company.",
    "Programme facile à utiliser avec une navigation pratique, entièrement mis à jour et convivial.",
    "Claims processing",
    "Claims on hold queue and proof of timely filing is available easily"
  ],
  "ratings": [
    "4.3 out of 5 on G2 for TriZetto QNXT",
    "4.3 out of 5 on G2 for TriZetto Facets",
    "4.5 out of 5 on G2 for TriZetto CareAdvance Provider"
  ],
  "support_channels": [
    "email",
    "phone",
    "chat",
    "ticketing",
    "community",
    "24x7"
  ],
  "training_options": [
    "documentation",
    "webinars",
    "live_online",
    "onsite",
    "certification"
  ],
  "release_year": "\"\"",
  "integration_partners": [],
  "id": "SW2408",
  "slug": "trizetto-healthcare-products",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-10-11",
  "links_json": {
    "self": "https://www.healthaidb.com/software/trizetto-healthcare-products.json"
  }
}