List of Cognizant TriZetto Facets Customers
Cognizant
300 Frank West Burr Boulevard,
Teaneck, 7666, NJ,
United States
Teaneck, 7666, NJ,
United States
1 201-801-0233
Professional Services
349800
$19.7B
Since 2010, our global team of researchers has been studying Cognizant TriZetto Facets 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 Facets for Core Admin Processing System 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 Facets for Core Admin Processing System include: UnitedHealth Group, a United States based Insurance organisation with 400000 employees and revenues of $400.28 billion, CVS Health, a United States based Healthcare organisation with 219000 employees and revenues of $372.81 billion, Cardinal Health, a United States based Healthcare organisation with 53084 employees and revenues of $222.58 billion, HCA Healthcare, a United States based Healthcare organisation with 226000 employees and revenues of $70.60 billion, HCSC (Health Care Service Corporation), a United States based Banking and Financial Services organisation with 28000 employees and revenues of $54.75 billion and many others.
Contact us if you need a completed and verified list of companies using Cognizant TriZetto Facets, 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 |
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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.
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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.
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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.
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Amida Care | Insurance | 180 | $340M | United States | Cognizant | Cognizant TriZetto Facets | Core Admin Processing System | 2021 | n/a |
In 2021, Amida Care implemented Cognizant TriZetto Facets as its Core Admin Processing System to centralize claims adjudication and eligibility workflows across Medicaid and Medicare programs. Amida Care Cognizant TriZetto Facets Core Admin Processing System was positioned to support claims processing, eligibility and enrollment, provider network management, and member billing functions for state welfare programs including CHIP, SNAP, and TANF as well as Medicare Advantage operations.
The implementation configured TriZetto Facets functional modules including claims processing and adjudication, billing, member and subscriber management, accounting, utilization management, and PBM web-portal configuration. The project included development and execution of test plans, test scenarios, and UAT tasks for TriZetto Facets 4.x, along with functional and usability testing, and creation of requirements traceability matrices linking high level business needs to epics and user stories.
The technical architecture linked Facets to backend data platforms and interoperability layers, using Oracle database tables for transactional data and Azure SQL for reporting and performance troubleshooting. ETL design and data mapping produced normalized and denormalized data models and snowflake schemas, and EDI transaction handling was implemented for HIPAA X12 834, 837, 835, 270/271, and 277 standards, with operational interfaces to MMIS Medicaid claims resolution and CMS/Medicaid program flows.
Governance and delivery used Agile and Scrum practices, including daily scrum meetings, sprint planning, sprint review and retrospectives, JAD sessions for requirements elicitation, and backlog management in JIRA and Azure DevOps. Documentation and knowledge management were maintained in Confluence, and the business analyst team led requirements management, creation of user stories, and coordination of onshore and offshore development, QA, DevOps, and release activities.
Operational scope covered claims and billing teams, eligibility adjudication, provider relations, and operations reporting, with responsibilities that included logical data modeling, SQL-based data validation, mapping documents, MIS reporting for underwriting and backlog tracking, and coordination of UAT acceptance criteria. The implementation integrated Facets-driven workflows with EMR interfaces and payer/provider EDI exchanges to support daily Medicare, Medicaid, and commercial HMO/PPO claims processing.
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Apria Home Medical Equipment And Support For Sleep Apnea | Healthcare | 6500 | $3.1B | United States | Cognizant | Cognizant TriZetto Facets | Core Admin Processing System | 2012 | n/a |
In 2012 Apria Healthcare implemented Cognizant TriZetto Facets as its Core Admin Processing System to centralize adjudication and enrollment processes for medical, dental, pharmacy, and vision claims. The Facets implementation accepted EDI and proprietary claim feeds, routed incoming files into a Batch Adjudication System for automatic adjudication and into an Online Adjudication queue for examiner review, and then forwarded adjudicated claim files to the Payment department for disbursement.
The deployment included core modules and configuration for claims processing, members, provider management, billing, subscriber enrollment, and benefits configuration. Cognizant TriZetto Facets was configured to support automated coordination of benefits processing for Medicare claims, inbound and outbound EDI interfaces for 834 enrollment, and load and extraction programs for flat file and X12 data. Workstreams explicitly referenced FACETS claims processing flows and extensions for reports development and extraction.
Integrations and technical architecture were centered on flat file ingestion into an Oracle database backend and transaction processing through Edifecs X engine for X12 parsing and transformation. The implementation validated HIPAA transaction sets including 4010 and 5010 for 837P and 835 EDI flows, and involved Medicare and Medicaid MMIS transaction validations for eligibility, provider enrollment, and reimbursement workflows. Testing included reports validation for files sent to external clients and reconciliation between EDI and application data using Ultra Edits for X12 comparisons and SQL based data validation.
Governance and operational readiness emphasized rigorous QA and testing governance, with test plans, requirement traceability matrices, and status reporting used to track execution and schedule slippage. Test coverage spanned functional, integration, regression, smoke, and end to end testing, with test case development for positive and negative scenarios, test data preparation, execution in Quality Center test lab modules, and defect logging for resolution. Operational users included adjudication examiners, payment operations, and QA teams who consumed the online adjudication queues and output reports.
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Healthcare | 142000 | $27.2B | United States | Cognizant | Cognizant TriZetto Facets | Core Admin Processing System | 2020 | n/a |
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Insurance | 14000 | $11.9B | United States | Cognizant | Cognizant TriZetto Facets | Core Admin Processing System | 2013 | n/a |
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Healthcare | 32000 | $5.5B | United States | Cognizant | Cognizant TriZetto Facets | Core Admin Processing System | 2014 | n/a |
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Insurance | 1450 | $3.0B | United States | Cognizant | Cognizant TriZetto Facets | Core Admin Processing System | 2014 | n/a |
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Insurance | 2500 | $1.1B | United States | Cognizant | Cognizant TriZetto Facets | Core Admin Processing System | 2019 | n/a |
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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:
- CMC2528, a United States based Non Profit organization with 150 Employees
- Lewy Body Dementia Association, a United States based Non Profit company with 50 Employees
- City of Westfield, MA, a United States based Government organization with 1000 Employees
Discover Software Buyers actively Evaluating Enterprise Applications
| Logo | Company | Industry | Employees | Revenue | Country | Evaluated | ||
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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.