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TriZetto Healthcare RCM
What TriZetto Healthcare RCM is
TriZetto Healthcare RCM is Cognizant’s web based revenue cycle management offering for hospitals, health systems and ambulatory care organizations. It combines services and software across patient access, eligibility and enrollment, coding, claims clearinghouse operations, accounts receivable and denials management. Patient access services use technology to address staffing needs, simplify front end interactions and support patient financial clearance. Eligibility and enrollment work includes screenings, financial counseling and application support for Medicaid, Medicare and charity programs.
The clearinghouse supports claim submission and tracking, status inquiries, remittance conversion to EDI 835 files and claim status inquiries. Cognizant says it has more than 8,000 payer connections, partnerships with over 650 practice management vendors and more than 650 electronic medical record integrations. Denials tools identify potential professional and institutional denials and support appeals, payer follow up and analytics. Revenue Cycle Management Workflow ranks accounts using payer, amount and age, while TriZetto ARM Pro automates identification of common rejection causes. Cognizant reports over 30 years of RCM experience, processing 2.6 billion transactions annually and supporting more than 200 million lives. Its clearinghouse is described as SOC 2 compliant and HITRUST and EHNAC accredited.
Who it suits
TriZetto Healthcare RCM is aimed at hospitals, health systems and ambulatory care organizations managing patient access, claims and denials. It may suit providers seeking a combined set of revenue cycle services and products, including eligibility verification, patient payments and clearinghouse functions.
What it does well
- Covers patient access, eligibility, coding, claims, accounts receivable and denials.
- Clearinghouse supports claims tracking and remittance conversion to EDI 835 files.
- More than 8,000 payer connections are reported.
- Cognizant reports 650+ electronic medical record integrations.
- Includes dashboards, issue identification and comparative benchmarking.
What to know first
- Pricing is available on request.
- Listed provider types are hospitals, health systems and ambulatory care organizations.
Limits
Pricing is on request, and the listed provider types are hospitals, health systems and ambulatory care organizations.
Plans
| Plan | Billed and limits | Price |
|---|---|---|
| TriZetto Healthcare RCM | Pricing not stated on the product pages; contact Cognizant for details | On request |
As cognizant.com lists them, read 9 Oct 2026. The maker's own page has the final word.
Getting started
- Visit the Cognizant TriZetto Healthcare RCM website.
- Contact Cognizant for pricing details.
- Use the web-based offering.
Verdict
Providers in the listed organization types can consider TriZetto Healthcare RCM for its broad revenue cycle coverage and denials workflow tools. Organizations seeking a published price should look elsewhere or contact Cognizant for pricing details.
Questions
How much does TriZetto Healthcare RCM cost?
Pricing is on request; Cognizant directs prospective customers to contact it for details.
Which organizations does it serve?
The listed provider types are hospitals, health systems and ambulatory care organizations.
What revenue cycle functions does it cover?
Coverage includes patient access, eligibility and enrollment, coding, clearinghouse services, accounts receivable and denials management.
Does it support eligibility verification and denial management?
Yes. Eligibility verification and denial management are listed, and the denials tools support identifying potential denials and streamlining appeals and payer follow up.
What integrations and payer connections are reported?
Cognizant reports more than 650 electronic medical record integrations and more than 8,000 payer connections.
What security credentials are described?
Cognizant describes its clearinghouse as SOC 2 compliant and HITRUST and EHNAC accredited.
Facts from TriZetto Healthcare RCM's own pages
- Analytics
- RCM analytics tools provide dashboards and interfaces, issue identification, comparative benchmarking and data for strategic decisions. · cognizant.com, 9 Oct 2026
- Claims features
- The TriZetto clearinghouse supports claim submission and tracking, claim status inquiries, remittance conversion to EDI 835 files and reduced rejection rates. · cognizant.com, 9 Oct 2026
- Claims management
- The clearinghouse claims tools can automate claim status inquiries, convert EOBs to standard EDI 835 files and track claims from submission to payment. · cognizant.com, 9 Oct 2026
- Clearinghouse connections
- The clearinghouse page states that its claims management solutions have 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors. · cognizant.com, 9 Oct 2026
- Denials management
- The denials management technology can identify potential professional and institutional denials, streamline appeals and payer follow-up, and provide business intelligence and analytics. · cognizant.com, 9 Oct 2026
- Denials workflow
- Cognizant Revenue Cycle Management Workflow prioritizes accounts using payer, amount and age, while TriZetto ARM Pro automates identification of common claim rejection causes. · cognizant.com, 9 Oct 2026
- Eligibility and enrollment
- Eligibility enrollment services include screenings, financial counseling and application support for Medicaid, Medicare and charity programs. · cognizant.com, 9 Oct 2026
- Founded
- 1994 · cognizant.com, 28 Sept 2026
- Headquarters
- Teaneck, New Jersey, United States · cognizant.com, 28 Sept 2026
- Integrations
- Cognizant reports 650 EHR system integrations and longstanding partnerships with more than 650 practice management vendors for its claims management solutions. · cognizant.com, 9 Oct 2026
- Notable limits
- The RCM page’s filter identifies hospitals and health systems and ambulatory care organizations as its provider types. · cognizant.com, 9 Oct 2026
- Patient access
- Patient access services use technology to address staffing resource deficiencies, simplify front-end interactions and increase patient financial clearance. · cognizant.com, 9 Oct 2026
- Patient engagement
- Patient engagement features include eligibility verification, discovery of hidden insurance coverage, prior authorization support and flexible payment options. · cognizant.com, 9 Oct 2026
- Payer connections
- The claims management page states the service has more than 8,000 payer connections. · cognizant.com, 9 Oct 2026
- Results example
- Cognizant reports that its work with MetroHealth using RCM Workflow and ARM Pro was associated with a 30% decrease in denied claims and $13 million in additional revenue over one year. · cognizant.com, 9 Oct 2026
- Revenue cycle coverage
- The RCM page describes an end-to-end set of services and products, including patient access, eligibility enrollment, coding, clearinghouse, accounts receivable and denials management. · cognizant.com, 9 Oct 2026
- Revenue cycle experience
- Cognizant says it has over 30 years in RCM and processes 2.6 billion transactions annually, supporting more than 200 million lives. · cognizant.com, 9 Oct 2026
- Security and accreditation
- Cognizant describes its clearinghouse as SOC 2 compliant and HITRUST and EHNAC accredited. · cognizant.com, 9 Oct 2026
- Security and compliance
- The clearinghouse page describes its solution as SOC 2 compliant, HITRUST accredited and EHNAC accredited. · cognizant.com, 9 Oct 2026
- Support
- Cognizant says its clearinghouse service provides technical support to healthcare providers navigating payment processes. · cognizant.com, 9 Oct 2026
- What it does
- Cognizant describes its RCM offering as an end-to-end platform combined with a flexible service model for revenue cycle needs. · cognizant.com, 9 Oct 2026
- Who it serves
- The RCM page lists hospitals, health systems and ambulatory care organizations as provider types. · cognizant.com, 9 Oct 2026
Where TriZetto Healthcare RCM stands on Freedom251
- Medical Billing Software#25 of 28