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Tech riderRev. 9 Oct 2026

TriZetto Healthcare RCM

Ch 186.5of 28Medical Billing Software
  1. 1Runs onWeb
  2. 2Eligibility verificationYes
  3. 3Denial managementYes
  4. 4Patient paymentsYes
4 lines stated Written from the maker's own pages: cognizant.com
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The TriZetto Healthcare RCM homepage

Overview

TriZetto Healthcare RCM is ranked #18 of 28 in medical billing software on Specifiction. It runs on Web.

TriZetto Healthcare RCM plans and pricing

All plans
TriZetto Healthcare RCM Pricing not stated on the product pages; contact Cognizant for details cognizant.com · 9 Oct 2026

Compared on medical billing software

Eligibility verification
Yescognizant.com
Denial management
Yescognizant.com
Patient payments
Yescognizant.com

Facts

What it does
Cognizant’s RCM solutions combine technology and services to improve provider operations, support compliance and help providers achieve better financial outcomes.cognizant.com · 9 Oct 2026
Who it serves
The RCM page lists hospitals, health systems and ambulatory care organizations as provider types.cognizant.com · 9 Oct 2026
Revenue cycle coverage
The RCM page describes an end-to-end set of services and products, including patient access, eligibility enrollment, coding, clearinghouse, accounts receivable and denials management.cognizant.com · 9 Oct 2026
Denials workflow
Cognizant Revenue Cycle Management Workflow prioritizes accounts using payer, amount and age, while TriZetto ARM Pro automates identification of common claim rejection causes.cognizant.com · 9 Oct 2026
Claims features
The TriZetto clearinghouse supports claim submission and tracking, claim status inquiries, remittance conversion to EDI 835 files and reduced rejection rates.cognizant.com · 9 Oct 2026
Integrations
Cognizant reports 650+ electronic medical record integrations on its RCM page.cognizant.com · 9 Oct 2026
Clearinghouse connections
The clearinghouse page states that its claims management solutions have 8,000+ payer connections and longstanding partnerships with 650+ practice management vendors.cognizant.com · 9 Oct 2026
Security and compliance
The clearinghouse page describes its solution as SOC 2 compliant, HITRUST accredited and EHNAC accredited.cognizant.com · 9 Oct 2026
Support
Cognizant says its clearinghouse service provides technical support to healthcare providers navigating payment processes.cognizant.com · 9 Oct 2026
Notable limits
The RCM page’s filter identifies hospitals and health systems and ambulatory care organizations as its provider types.cognizant.com · 9 Oct 2026
Results example
Cognizant reports that its work with MetroHealth using RCM Workflow and ARM Pro was associated with a 30% decrease in denied claims and $13 million in additional revenue over one year.cognizant.com · 9 Oct 2026
Revenue cycle experience
Cognizant says it has over 30 years in RCM and processes 2.6 billion transactions annually, supporting more than 200 million lives.cognizant.com · 9 Oct 2026
Patient access
Patient access services use technology to address staffing resource deficiencies, simplify front-end interactions and increase patient financial clearance.cognizant.com · 9 Oct 2026
Eligibility and enrollment
Eligibility enrollment services include screenings, financial counseling and application support for Medicaid, Medicare and charity programs.cognizant.com · 9 Oct 2026
Claims management
The clearinghouse claims tools can automate claim status inquiries, convert EOBs to standard EDI 835 files and track claims from submission to payment.cognizant.com · 9 Oct 2026
Payer connections
The claims management page states the service has more than 8,000 payer connections.cognizant.com · 9 Oct 2026
Patient engagement
Patient engagement features include eligibility verification, discovery of hidden insurance coverage, prior authorization support and flexible payment options.cognizant.com · 9 Oct 2026
Analytics
RCM analytics tools provide dashboards and interfaces, issue identification, comparative benchmarking and data for strategic decisions.cognizant.com · 9 Oct 2026
Security and accreditation
Cognizant describes its clearinghouse as SOC 2 compliant and HITRUST and EHNAC accredited.cognizant.com · 9 Oct 2026
Denials management
The denials management technology can identify potential professional and institutional denials, streamline appeals and payer follow-up, and provide business intelligence and analytics.cognizant.com · 9 Oct 2026

Company

Founded
1994cognizant.com · 28 Sept 2026
Headquarters
Teaneck, New Jersey, United Statescognizant.com · 28 Sept 2026

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Where it ranks on Specifiction

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