Providers

A group of medical professionals in white coats and scrubs engage in a discussion in an office setting.

More efficient providers, better patient experiences

Cognizant helps more than 875,000 providers run their organizations more efficiently, achieve better outcomes and create more seamless patient experiences. Our technology, services and expertise enable providers to focus on doing what they do best: caring for their patients.

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<h3>Why Cognizant?</h3>

4.4 billion

payer-provider transactions annually

450+

hospital and health system clients

875,000

healthcare providers supported

80,000

healthcare employees

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Why Cognizant

<h3>Provider services</h3> <p>Filter by provider type</p>

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Services and products

Select filter option, All topics, Hospitals and health systems, Ambulatory care organizations

Virtual health solutions

Cognizant is ready to help providers address the shift to virtual health with solutions that can be deployed separately or in combination for comprehensive and seamless virtualization. We provide healthcare organizations with consulting, operations and technology services to help launch, scale or enhance virtual health.

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{"0":"Hospitals and health systems"}

Revenue cycle management (RCM)

Cognizant’s robust, end-to-end platform combined with our flexible service model can tackle nuances at every stage of the revenue cycle. Our expertise in the provider and payer areas allows us to deliver a unique approach for revenue cycle challenges and solutions.

As an established player with over 40 years in RCM, we process 4.4 billion transactions annually, providing meaningful support for nearly 1 million care providers. Our breadth of knowledge helps bridge the gaps caused by talent shortages and reimbursement complexities, helping providers uncover hidden opportunities for revenue optimization.

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{"0":"Hospitals and health systems","1":"Ambulatory care organizations"}

Consulting

Cognizant’s consulting services address the industry trends and market forces that drive business and IT decision-making—from rethinking new business models to enabling digital innovation.

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{"0":"Hospitals and health systems"}

Data and AI

Wherever you are on your journey—from aggregating data to building sophisticated AI models—Cognizant will meet you there. With our innovative offerings, you’ll be able to harness the power of data and AI to drive faster, predictive and proactive decision-making while educating your organization on the path forward.

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{"0":"Hospitals and health systems"}

Modernization and cloud services

Business demands keep changing, which means your infrastructure must do more to stay ahead of the curve. Cognizant cloud and infrastructure services ensure your business is always ready, fuel employee productivity, integrate your departments and groups and future-proof your organization.

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{"0":"Hospitals and health systems","1":"Ambulatory care organizations"}

Process improvement services

Innovative partnerships are essential for payers, providers and pharmacy benefit managers to succeed in the competitive healthcare industry. We help clients rethink how they create value, innovate and grow by combining process expertise with intelligent digital platforms to optimize business operations.

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{"0":"Ambulatory care organizations","1":"Hospitals and health systems"}

Technology solutions

We offer providers advanced infrastructure services, industry and platform solutions and MLOps to help you improve patient safety and satisfaction, as well as clinical effectiveness.

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{"0":"Ambulatory care organizations","1":"Hospitals and health systems"}

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How we transform organizations like yours

Mitigating denials, improving financial outcomes
Proper insurance verification for reduced write-offs
Improved call center operations
Increased upfront patient collections

The challenge

MetroHealth, a large, safety-net healthcare system needed to mitigate a spike in payer claim denials to shorten outstanding accounts receivables days and increase cash collections.

Our approach

Deployed the Cognizant® Revenue Cycle Management Workflow solution and the Cognizant® Advanced Reimbursement Manager (ARM) Pro denials management solutions. This combination continuously deployed automation to improve process quality and financial outcomes while automating the previously manual process of identifying the root cause of initial claim denials.

Business outcomes

30% decrease in denials
$13M increase in revenue
25% increase in average daily collections

Read the full case study

The challenge

Anesthesia Financial Solutions (AFS) required an insurance verification coverage strategy to lower the number of denials due to missed filing deadlines and prevent future write-offs.

Our approach

Cognizant’s TriZetto Eligibility solution was introduced and provided immediate gains in operational efficiency, reliability of data validation and increased payer remittance. The solution became the cornerstone of the revenue cycle process and is used as the foundation for all patient and staff validations.

Business outcomes

Reduced timely filing denials by 47%
Reduced 44% overall write-off between 2022 and 2023
Reduced eligibility and registration denials by 11%
Reduced coordination of benefit (COB) inquiries by 98%

See the case study video

The challenge

Help MetroHealth implement a strategic and sustainable operations solution to support business changes and increased call center volumes.

Our approach

Collected and analyzed data to identify opportunities and prioritize actions
Identified technology solutions, streamlined workflows and determined additional staffing needs
Onboarded a new employee using change management tactics, which improved training, documentation and morale

Business outcomes

100% increase in call volume with minimal staff expansion
4.49/5 customer satisfaction levels
4.25% lower than industry-standard call center abandonment rate

Read the full case study

The challenge

Client faced staffing challenges that hindered their ability to improve front-end patient access, particularly upfront payments and prior authorization.

Our approach

Provided well-trained staff who integrated into revenue cycle management roles
Ensured accurate patient liability estimates and timely prior authorization filing