Having mitigated downstream challenges for networks and other entities which performed re-pricing processes in-house, it became clear to REVELOHEALTH that re-pricing hadn’t been a core competency required for today’s healthcare landscape. This was more evident as payer contracts became increasingly complex, compounding errors, multiple re-pricing passes and costs. A group of accomplished leaders from all aspects of the healthcare ecosystem met this challenge head-on by creating REVELOHEALTH as a standalone entity to focus purely on claims re-pricing for third-party administrators (TPAs). While the company wanted to offer independent re-pricing services using raw claims data as the foundation for data analysis services, it was unable to find the right operating niche. Cognizant’s expertise in the industry led REVELOHEALTH to choose TriZetto® solutions as the foundational partner for its REPricity solution.