List of Cognizant TriZetto NetworX Pricer Customers
Teaneck, 7666, NJ,
United States
Since 2010, our global team of researchers has been studying Cognizant TriZetto NetworX Pricer 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 NetworX Pricer for Configure Price Quote (CPQ) 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 NetworX Pricer for Configure Price Quote (CPQ) include: Lifetime Healthcare, a United States based Non Profit organisation with 7000 employees and revenues of $2.46 billion, 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 NetworX Pricer, 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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Lifetime Healthcare | Non Profit | 7000 | $2.5B | United States | Cognizant | Cognizant TriZetto NetworX Pricer | Configure Price Quote (CPQ) | 2021 | n/a |
In 2021, Lifetime Healthcare implemented Cognizant TriZetto NetworX Pricer to centralize provider reimbursement pricing and contract modeling, aligning the deployment with the Configure Price Quote (CPQ) category and the organization’s broader payer operations. The implementation is explicitly positioned as a Configure Price Quote (CPQ) application supporting provider reimbursement business functions across the enterprise.
The Cognizant TriZetto NetworX Pricer deployment was managed alongside a core suite of vendor and in-house applications covered by the VP of IT Business Enablement and Optimization. Operational scope includes all lines of business referenced by the organization, including Blue Card and the Federal Employee Program, Commercial, Medicare, and Medicaid, and extends support to the Lifetime Benefit Solutions subsidiary. The Pricer instance is part of an integrated application portfolio that the IT leadership maintains for production stability and regulatory compliance.
Configuration work focused on CPQ-aligned capabilities typical for provider pricing systems, including fee schedule management, pricing rule engines, contract modeling, and adjudication pricing logic to support reimbursement decisions. Cognizant TriZetto NetworX Pricer was configured to reflect payer contract structures and to manage pricing parameters used by claims adjudication. The implementation emphasized rule-based pricing configuration and administrative controls to support ongoing vendor release updates.
Integrations were implemented with the enterprise claims and enrollment stack as described by internal IT leadership, including claims adjudication on Facets, transaction routing via Edifecs Transaction Manager, membership enrollment through Edifecs ENR, clinical editing via ClaimsXten, medical management through Clinical CareAdvance, and provider credentialing with Visual Cactus. Interface development and customization used SQL, Informatica, Java, C+ and .NET, with developers guided by IT application owners to ensure data flow between pricing, adjudication, and enrollment systems.
Governance included formal oversight of vendor releases, production incident management to meet SLA targets, and monitoring of production jobs to adhere to business processes. The VP-level team structure provided operational ownership, with directed support for uptime and availability SLAs and coordination across Operational Excellence and Population Health Engagement teams. Ongoing operational responsibilities emphasize compliance with payer association and federal program requirements while maintaining application stability.
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ReveloHealth | Healthcare | 30 | $4M | United States | Cognizant | Cognizant TriZetto NetworX Pricer | Configure Price Quote (CPQ) | 2020 | n/a |
In 2020, ReveloHealth deployed Cognizant TriZetto NetworX Pricer as part of its REPricity solution, implementing real time repricing automation in the Configure Price Quote (CPQ) category. Cognizant worked with ReveloHealth to instrument TriZetto components into an automated pricing and claims routing architecture that targets TPAs and employer group payer workflows.
The implementation centers on three TriZetto components, TriZetto QicLink, TriZetto ClaimsExchange, and Cognizant TriZetto NetworX Pricer, with NetworX Pricer acting as the pricing engine. QicLink stores TPA data and provider demographics, including network associations, contract definitions and rate sheet identification for each provider, enabling rate sheet extraction and contract lookup at transaction time. TriZetto ClaimsExchange captures and submits ANSI 837 claims to NetworX Pricer, routes matched claims based on network hierarchy, and retrieves repriced 837 transactions for onward submission.
Integrations include a live extract from QicLink into ClaimsExchange and a direct connection from the REPricity pipeline to Optum to ingest formulary drug lists for payer captures. The operational coverage is explicitly focused on repricing and claims flow for TPAs, employer groups and their payer relationships, supporting complex contract models and rate sheet driven pricing across provider networks. ClaimsExchange handles the transactions to and from the TPA claims processor to preserve adjudication continuity after repricing.
Governance and workflow restructuring emphasize real time extraction, automated network matching, and transaction orchestration between data storage, pricing, and claims adjudication endpoints. The solution automates the entire repricing function in real time for TPAs and employer groups, and it can reprice 93 claims in mere seconds while enabling data mining to analyze health plan performance across geographic regions and employee groups.
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