List of Cognizant TriZetto ClaimsExchange Customers
Teaneck, 7666, NJ,
United States
Since 2010, our global team of researchers has been studying Cognizant TriZetto ClaimsExchange customers around the world, aggregating massive amounts of data points that form the basis of our forecast assumptions and perhaps the rise and fall of certain vendors and their products on a quarterly basis.
Each quarter our research team identifies companies that have purchased Cognizant TriZetto ClaimsExchange for Insurance Claims Management from public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources, including the customer size, industry, location, implementation status, partner involvement, LOB Key Stakeholders and related IT decision-makers contact details.
Companies using Cognizant TriZetto ClaimsExchange for Insurance Claims Management include: Geisinger Health Plan, a United States based Healthcare organisation with 24000 employees and revenues of $7.70 billion, Planned Administrators, a United States based Insurance organisation with 350 employees and revenues of $60.0 million, ReveloHealth, a United States based Healthcare organisation with 30 employees and revenues of $4.0 million and many others.
Contact us if you need a completed and verified list of companies using Cognizant TriZetto ClaimsExchange, including the breakdown by industry (21 Verticals), Geography (Region, Country, State, City), Company Size (Revenue, Employees, Asset) and related IT Decision Makers, Key Stakeholders, business and technology executives responsible for the software purchases.
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| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight | Insight Source |
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Geisinger Health Plan | Healthcare | 24000 | $7.7B | United States | Cognizant | Cognizant TriZetto ClaimsExchange | Insurance Claims Management | 2019 | n/a | In 2019, Geisinger Health Plan implemented Cognizant TriZetto ClaimsExchange alongside a TriZetto Facets core administration deployment. The work targeted Insurance Claims Management for Geisinger’s regional U.S. plans, focusing on claims routing, adjudication orchestration, and provider pricing workflows. The implementation configured Cognizant TriZetto ClaimsExchange to operate within a Facets-centered architecture, and integrated TriZetto NetworX Pricer to automate provider pricing and repricing logic. Functional capabilities emphasized automated claims routing, rule-driven adjudication engines, repricing for provider payments, and invoiceable claim lifecycle management consistent with Insurance Claims Management platforms. Integrations were structured around Facets as the core administration stack and NetworX Pricer for provider price determination, enabling ClaimsExchange to route and reprice claims prior to final adjudication. Operational coverage centered on claims operations and provider payment workflows across Geisinger’s regional plans, aligning pricing rules with adjudication engines and provider network data. Governance changes aligned adjudication policies with the repricing engine, centralizing rule management and automated routing to reduce manual adjudication handoffs. According to the Cognizant case study, the deployment increased auto adjudication rates and improved provider payment accuracy after implementation, reflecting improved operational accuracy in claims adjudication. | |
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Planned Administrators | Insurance | 350 | $60M | United States | Cognizant | Cognizant TriZetto ClaimsExchange | Insurance Claims Management | 2022 | n/a | In 2022, Planned Administrators implemented Cognizant TriZetto ClaimsExchange as part of an Insurance Claims Management initiative to enhance electronic claims handling within its U.S. operations. The deployment was anchored on Cognizant TriZetto QicLink Customer Service to integrate member and provider service workflows with the insurer’s core administration system, targeting customer service and claims support functions. Configuration work centered on ClaimsExchange capabilities for electronic claims routing and repricing, paired with QicLink Customer Service for real time member and provider interaction. The implementation included claims routing workflows, repricing logic and adjudication handoffs consistent with Insurance Claims Management functional patterns, and it integrated service desk interactions into claims processing to streamline case resolution. Operational scope covered customer service and claims support teams across the United States, with governance focused on aligning call handling protocols to the new integrated claims routing flows. The program delivered stated outcomes of improving call handle time and reducing IT maintenance costs, while preserving the vendor relationship with Cognizant and maintaining integration to the organization’s core administration system. | |
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ReveloHealth | Healthcare | 30 | $4M | United States | Cognizant | Cognizant TriZetto ClaimsExchange | Insurance Claims Management | 2023 | n/a | In 2023 ReveloHealth deployed Cognizant TriZetto ClaimsExchange as a core component of its REPricity claims repricing platform. The implementation addresses Insurance Claims Management workflows to deliver real time, high volume repricing for third party administrators and employer groups in the United States. The REPricity platform was built using TriZetto QicLink, Cognizant TriZetto ClaimsExchange and TriZetto NetworX Pricer, with ClaimsExchange providing transaction orchestration, claims routing and interface management between intake and pricing engines. The configuration emphasizes automated repricing and rule based adjudication, combining QicLink for claims intake and normalization with NetworX Pricer for pricing logic and fee schedule application. The deployment architecture supports streaming and high throughput processing to meet real time repricing demands, and integrates the three TriZetto components into a unified processing pipeline. Operational coverage is focused on TPAs and employer groups across the United States, aligning Insurance Claims Management functions with claims intake, pricing, and downstream adjudication workflows. The Cognizant case study explicitly describes Cognizant TriZetto ClaimsExchange in the implementation and reports approximately 98% first pass accuracy and near 100% automation for repricing outcomes. Governance emphasized automated workflows and end to end processing to minimize manual intervention and standardize repricing operations. |
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