carrot carrot carrot Change Centers x cognizanti collaborators create-folder Data Science Decisive Infrastructure download download edit Email exit Facebook files folders future-of-work global sourcing industry info infographic linkedin location Mass Empowerment Mobile First our-latest-thinking pdf question-mark icon_rss save-article search-article search-folders settings icon_share smart-search Smart Sourcing icon_star Twitter Value Webs Virtual Capital workplace Artboard 1
Contact Us

Your information has been submitted successfully!

Clear Path to Claims Processing

SIMPLIFY YOUR TRADING PARTNER ECOSYSTEM WITH CLOUD-ENABLED TECHNOLOGY

Consolidate and manage EDI trading partners with one cost effective optimized service.

STRENGTHEN TRADING PARTNER TIES


Consolidating your trading partner ecosystem can drastically improve the efficiency of claims routing and processing.

Cost containment, vendor management and compliance are critical to payer operations. Our TriZetto® Trading Partner Management service solution lowers operational expenses, consolidates and manages vendor touch points and ensures regulatory compliance.

Payers are searching for effective ways to reduce administrative costs and streamline operations. One area of high cost and complexity involves the routing of claims to providers. Operating multiple connections to trading partners, EDI vendors and other parties that, in turn, route claims to providers is expensive and time-consuming—and diverts IT resources from strategic priorities.

From Many to One

Our Trading Partner Management service solution consolidates the number of trading partners a payer must manage from many to just one. The solution:

  • Facilitates the routing of transactions to and from thousands of trading partners.
  • Connects directly with clearinghouses and more than 200,000 trading partners.
  • Replaces expensive, custom-built one-to-many trading partner solutions with a secure, scalable, many-to-many system.
  • Addresses and maintains compliance with applicable regulations.
  • Keeps costs predictable with Per Member Per Month (PMPM) pricing.
  • Maintains unique trading partner selection and governance.
  • Reduces payer costs by 20-40%.

RELATED THINKING

Solution Summary
TriZetto® Trading Partner Solution

Manage All Your Trading Partners Through Cloud-Enabled...

LINES OF BUSINESS

Commercial

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

LEARN MORE
Individual & Small Group

Supports the economic advantage and efficiency needed to administer an individual line of business and participate in public and private insurance exchanges.

LEARN MORE
Specialty

Flexible IT solutions to address requirements with customizable functionality.

LEARN MORE
Medicare

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

LEARN MORE
Medicaid

Functionality that adapts to meet the complexities and demands of the Managed Medicaid market.

LEARN MORE
Duals

Flexible solutions to coordinate multiple compliance requirements and ease administration burdens.

LEARN MORE

RELATED SERVICES

Business Process Services

Services that offer meaningful, business outcomes.

LEARN MORE
Business Consulting

Unparalleled healthcare business consulting expertise.

LEARN MORE
Next-Gen Technologies

Leverage the power of next-generation technologies to build a stronger, agile business.

LEARN MORE
Infrastructure Services

Services to manage your infrastructure so you can manage your business.

LEARN MORE
IT Professional Services

Unrivaled resources and healthcare expertise to meet your IT business needs.

LEARN MORE
Services/Benefits Administration

Software, technology, expertise and proven methodologies to help you manage your business more effectively.

LEARN MORE

HEALTHCARE VISION BLOG

The Healthcare Vision Blog is a thought leadership forum that highlights our expertise and perspectives on healthcare strategy, government programs, operational excellence, population health management, digital transformation and other topics healthcare organizations are facing in a changing healthcare industry.

We invite you to read the blog, engage in the conversation around the topic and subscribe to be a member. When you subscribe, you will receive automatic notifications when there is a new blog post.

We look forward to your participation.  

VISIT OUR BLOG

GET THE RECOGNITION YOU DESERVE

Healthcare Excellence Awards: Cognizant is pleased to honor clients using our technology solutions to build new best practices or discover new ways to address changing business models. Discover how the Healthcare Excellence Awards program can get your organization the recognition it deserves.

LEARN MORE

May 20–23, 2018 Cognizant Healthcare Conference

The Healthcare Conference brings our clients and partners together to discuss strategies and solutions that will help address the challenges you are facing today.

REQUEST MORE INFORMATION

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.

Please Enter Valid First Name
Please Enter a Valid Email Address
Please Enter Valid Company Name
Please Enter Contact Number
Please Input the Region
Please Input the Inquiry Type
Please Input the SubInquiry Type
Please Enter A Message

Thank you for your interest in Cognizant.

We’ll be in touch soon.