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TriZetto Healthcare Products / Specialty

Industry-leading innovation for specialty plans

Whether you are a commercial plan that wants to expand your offerings or a true standalone plan administering a single specialty benefit, you can administer one or multiple lines of specialty business on a platform that conforms to your needs.
As specialty plans increase in popularity among individuals and employer groups and as payers expand their portfolios with new offerings, the demand is growing for solutions thatmanage multiple lines of specialty products seamlessly via a single, integrated platform.
These solutions must also be flexible enough to support diverse specialty plan designs. Because each line of business makes its own demands on claims processing, capitation/risk-fund accounting, premium billing, network management and more, customizable functionality is essential to accommodating the different plan nuances.
The Cognizant line of TriZetto Healthcare Products offers technology that combines flexibility with industry-leading innovation to support a wide array of specialty plans administered in combination with core and other specialty plans or on a standalone basis. These solutions can be delivered in the licensed, hosted, business services or combined format, whichever is best for your business model. Manage the following specialties:
  • Behavioral health
  • Dental
  • Vision
  • Consumer-directed


Core Administration

Increases payer efficiency, improve productivity, reduce costs and position your business for growth.

Cognizant Interoperability Solutions

Offers end-to-end solution that pairs modular SaaS products with industry-leading strategic consulting to connect disparate systems, standardize data and enable secure, authenticated access in real-time.

Provider Reimbursement Solutions

Automates pricing scenarios to provide the best value to payers, providers and patients.

Quality Management

Enables payer/provider collaboration to reduce costs and drive overall quality improvement.

TriZetto® EngageMember®

Members may interact anytime, anywhere and receive a detailed view of their coverage information with compelling metrics, timely notifications and relevant healthcare content.

Business Process-as-a-Service

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

TriZetto® EngageProvider®

Enables physicians and other care providers to access detailed information on their patients, efficiently log claims and make templates for common claims, as well as easily create referrals and authorizations.

Trading Partner Management

Manages EDI trading partners with one cost-effective, cloud-enabled technology service.

Care Management

Connects care managers to members and providers while reducing costs, personalizing interventions and improving care quality.

Optimization Software Products

Automate and simplify operational tasks associated with our core healthcare technology solutions, Facets and QNXT.

TriZetto Elements®

Extend the functionality of your core system by providing critical capabilities from enrollment through risk adjustment, to efficiently administer government solutions.

Portal Technology

Automates transaction processing and information exchange between payer organizations and their external constituents.

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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