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TriZetto Healthcare Products / Core Administration

Drive efficiency across the healthcare core

Healthcare organizations depend on strong foundations to leverage the potential of the digital economy.
Your core administration system is the foundation of your success. Our Core Administration platforms provide the flexibility, automation and configurability needed to boost payer efficiency and launch new business models.
Cognizant’s line of TriZetto Healthcare Products provides enterprise-wide core administration solutions. Powerful and flexible, our innovative solutions—Facets®QNXT™ and QicLink™—offer a range of options. Organizations have the flexibility to conduct core administrative tasks today and the ability to anticipate tomorrow’s healthcare industry with additional functionality and product integration.
More than 50% of the covered lives in the U.S. are supported by TriZetto’s Healthcare Products. Regardless of the markets you serve, our core administration systems allow you to administer plans across all lines of business including Commercial, Medicare, Medicaid, Individual/Small Group, Vision, Dental, Specialty and Consumer-Directed.

Products

Facets®

Integrated consumer, care management, claims administration, revenue management in a flexible, automated platform that helps reduce costs and improve business processes.

QNXT™

Increase administrative efficiency, improve quality of care and meet compliance requirements while positioning your organization to take advantage of market changes and successfully navigate healthcare reform.

QICLINK™

Specifically built for Third-Party Administrators (TPAs), QICLINK Enterprise supports the management of self-insured, PPO, HMO, Medicare Supplement and multi-option point-of-service plans through automation and tools to efficiently manage cost and quality of care.

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 Lines of business

Commercial

Our comprehensive, flexible and scalable core administrative solutions enable the digital transformation required for success in the commercial market.

Individual & small group

Support for the economic advantages and efficiencies.

Specialty

Get flexible IT solutions to address your unique business requirements with customizable functionality.

 

 

Medicare

Build functionality that adapts to meet the complexities and demands of the Medicare Advantage market.

Medicaid

Build capabilities that adapt to meet the complexities and demands of the Managed Medicaid market.

Duals

Apply flexible solutions that streamline the coordination of multiple compliance requirements and ease administration burdens.

Related services

Business process services

Services that offer meaningful business outcomes.

Business consulting

Benefit from our unparalleled healthcare business consulting expertise.

Next-gen technologies

Put next-generation technologies in place that build a stronger, more agile business and lay the groundwork for future AI and automation initiatives.

Infrastructure services

Get services that ease the strain of managing your infrastructure so you can focus on managing your business.

IT professional services

Take advantage of our unrivaled resources and healthcare expertise to meet your IT business needs.

Services/Benefits administration

Apply our proven software, technology, expertise and tested methodologies to manage your business more effectively.

Business process-as-a-service

Our integrated software and services healthcare BPaaS solution includes process optimization, digitization and large-scale efficiencies.

Contact us

At Cognizant, we are here to provide you with more information about our TriZetto Healthcare Products software and service solutions and answer any questions you may have.

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