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List of Cognizant TriZetto Facets Customers

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Logo Customer Industry Empl. Revenue Country Vendor Application Category When SI Insight Insight Source
Affinity by Molina Healthcare (formerly Affinity Health Plan) Insurance 500 $180M United States Cognizant Cognizant TriZetto Facets Core Admin Processing System 2016 n/a In 2016, Affinity by Molina Healthcare (formerly Affinity Health Plan) implemented Cognizant TriZetto Facets as a Core Admin Processing System. The deployment focused on automating Health Quotes and claims processing to support Medicaid eligibility, billing and benefits administration across Affinity operations in Bronx, New York. The implementation established FACETS as the central system for membership, claims adjudication and PBM related workflows. The project delivered configuration and testing of the Health Quotes Module, claims module and membership capabilities, with explicit work on EDI transaction handling using HIPAA 837 and NCPDP 270 and 271 code sets. Activities included HIPAA4010 to 5010 gap analysis, FACETS output generation, interface development, and migration tasks designed to ensure accurate transmission of eligibility enquiries, responses and benefits data. Functional work spanned requirements, use cases, system requirement specifications and detailed test plans tied to claims, membership and PBM functional areas. Architecturally the implementation used Trizetto FACETS database artifacts in both SQL Server and Sybase environments, with Windows based application hosting and an EDI Gateway for external transactions. The program included testing against the NASCO Single System Claims Processing System Application to validate end to end claims flows. Database object development, query operations and coordination with IT for data migration were explicit parts of the technical scope. Governance and delivery emphasized structured requirements elicitation and QA, engaging SMEs through JAR and JAD sessions and maintaining artifacts in Rational Enterprise Suite and RequisitePro. The team executed configuration management, requirement traceability matrices and test script review, and delivered knowledge transfer to development and QA teams. Workgroup-driven FACETS EDI standards and compliance testing were used to align configuration with HIPAA guidelines and employer group benefits policies. Stated objectives for the Cognizant TriZetto Facets implementation included avoiding financial loss, improving billing efficiency and claims processing, and ensuring appropriate expenditure within eligible Medicaid receivers. Deliverables tied to these objectives included FACETS configuration to prevent transmission errors, interface and output development, and governance artifacts such as dashboards, project tracking templates and traceability matrices.
Amerigroup Insurance 10000 $5.0B United States Cognizant Cognizant TriZetto Facets Core Admin Processing System 2018 n/a In 2018, Amerigroup implemented Cognizant TriZetto Facets as its Core Admin Processing System, engaging Cognizant as the vendor for the deployment. The implementation is positioned to support provider-facing and administrative workflows rather than being restricted to a single team, with explicit operational use by Provider Relations and Behavioral Health staff in regions such as West Tennessee and by teams supporting Tennessee Health Link programs. Cognizant TriZetto Facets is configured to support core administration capabilities typical for a Core Admin Processing System, including claims administration, provider management, enrollment and eligibility flows, billing and benefit administration. The platform is used to manage complex provider issues and appeals, route claims exceptions into coordinated resolution workflows, and record provider utilization patterns relevant to network management. Operationally the Facets deployment is used alongside Salesforce, GBD, MS Teams, and other organization systems to execute day to day provider relations and claims tasks, reflecting an integrated user workflow rather than a standalone desktop process. Frontline roles such as Provider Relations Account Managers use Facets to coordinate with claims, pricing, and medical management teams, indicating role based access and cross functional operational coverage within provider and clinical support functions. Governance and process changes emphasize provider engagement routines and oversight, implemented through Joint Operation Committees for Tier 1 and Platinum providers, provider refresher training, and annual provider satisfaction survey processes. Subject matter experts are designated to research complex provider issues and to drive meeting level governance for provider contracts and ongoing operational monitoring, aligning Facets data and workflows with programmatic provider relationship management.
AmeriHealth Caritas Insurance 10000 $23.7B United States Cognizant Cognizant TriZetto Facets Core Admin Processing System 2014 n/a In 2014, AmeriHealth Caritas implemented Cognizant TriZetto Facets as its Core Admin Processing System to centralize core insurance administration for Medicaid value streams. The Cognizant TriZetto Facets deployment was scoped to support member enrollment, claims processing and adjudication, provider reimbursement workflows, and financial accounting within the companys core administration stack. The implementation configured and extended core modules of Cognizant TriZetto Facets for enrollment, claims adjudication, billing, provider interfaces, and regulatory support including ICD-10 related changes. Implementation work included configuration for process automation and real-time services, and supported integrations with health information exchange interfaces plus mobile application endpoints as part of broadened operational capabilities. Delivery and operating model shifted control from external consultants to an internal App Development and IS organization, with a 100+ member internal team taking ownership of configuration, customizations, and ongoing support. Governance and execution were organized around value streams for Medicaid plans, with IS teams accountable for delivery, budgetary oversight, and coordination of cross functional stakeholders. AmeriHealth Caritas used Cognizant TriZetto Facets to deliver multimillion dollar initiatives that addressed regulatory compliance, process automation, and efficiency improvement for Medicaid administration. The implementation served as a foundation for subsequent expansions of core administration capabilities across additional plan operations.
Insurance 180 $340M United States Cognizant Cognizant TriZetto Facets Core Admin Processing System 2021 n/a
Healthcare 6500 $3.1B United States Cognizant Cognizant TriZetto Facets Core Admin Processing System 2012 n/a
Healthcare 142000 $27.2B United States Cognizant Cognizant TriZetto Facets Core Admin Processing System 2020 n/a
Insurance 14000 $11.9B United States Cognizant Cognizant TriZetto Facets Core Admin Processing System 2013 n/a
Healthcare 32000 $5.5B United States Cognizant Cognizant TriZetto Facets Core Admin Processing System 2014 n/a
Insurance 1450 $3.0B United States Cognizant Cognizant TriZetto Facets Core Admin Processing System 2014 n/a
Insurance 2500 $1.1B United States Cognizant Cognizant TriZetto Facets Core Admin Processing System 2019 n/a
Showing 1 to 10 of 77 entries

Buyer Intent: Companies Evaluating Cognizant TriZetto Facets

ARTW Buyer Intent uncovers actionable customer signals, identifying software buyers actively evaluating Cognizant TriZetto Facets. Gain ongoing access to real-time prospects and uncover hidden opportunities. Companies Actively Evaluating Cognizant TriZetto Facets for Core Admin Processing System include:

  1. Ssg Global, a United States based Professional Services organization with 25 Employees
  2. City of Hudson, OH, a United States based Government company with 218 Employees
  3. Washington Metropolitan Area Transit Authority, a United States based Government organization with 10000 Employees

Discover Software Buyers actively Evaluating Enterprise Applications

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FAQ - APPS RUN THE WORLD Cognizant TriZetto Facets Coverage

Cognizant TriZetto Facets is a Core Admin Processing System solution from Cognizant.

Companies worldwide use Cognizant TriZetto Facets, from small firms to large enterprises across 21+ industries.

Organizations such as UnitedHealth Group, CVS Health, Cardinal Health, HCA Healthcare and HCSC (Health Care Service Corporation) are recorded users of Cognizant TriZetto Facets for Core Admin Processing System.

Companies using Cognizant TriZetto Facets are most concentrated in Insurance, Healthcare and Banking and Financial Services, with adoption spanning over 21 industries.

Companies using Cognizant TriZetto Facets are most concentrated in United States, with adoption tracked across 195 countries worldwide. This global distribution highlights the popularity of Cognizant TriZetto Facets across Americas, EMEA, and APAC.

Companies using Cognizant TriZetto Facets range from small businesses with 0-100 employees - 1.3%, to mid-sized firms with 101-1,000 employees - 23.38%, large organizations with 1,001-10,000 employees - 53.25%, and global enterprises with 10,000+ employees - 22.08%.

Customers of Cognizant TriZetto Facets include firms across all revenue levels — from $0-100M, to $101M-$1B, $1B-$10B, and $10B+ global corporations.

Contact APPS RUN THE WORLD to access the full verified Cognizant TriZetto Facets customer database with detailed Firmographics such as industry, geography, revenue, and employee breakdowns as well as key decision makers in charge of Core Admin Processing System.