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List of Cognizant Trizetto QicLink Customers

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Logo Customer Industry Empl. Revenue Country Vendor Application Category When SI Insight
Allied Benefit Systems Insurance 580 $230M United States Cognizant Cognizant Trizetto QicLink Core Admin Processing System 2020 n/a
In 2020, Allied Benefit Systems implemented Cognizant Trizetto QicLink as its Core Admin Processing System. The deployment centralized claims adjudication and refund workflows within the companys benefits administration function, establishing Cognizant Trizetto QicLink as the canonical processing environment for refund analysis and claims adjustments. Cognizant Trizetto QicLink was configured to support core functional modules including claims adjudication, refund processing, claim adjustments and voids, provider overpayment tracking, and case notes management. The implementation leverages coding workflows consistent with CPT and ICD-10 terminology, and staff routinely use Microsoft Excel and Word alongside an Access database to prepare reports, track refunds, and add system notes while processing transactions in QicLink. Operational coverage spans the Refunds team and intersects with Reinsurance, Accounting, and Claims departments, with users contributing to status updates, overpayment letters, and refund applications. Daily, weekly, and monthly accounting reports feed into the QicLink processing cadence, and monitoring of refunds is maintained in the Access database to reconcile provider communications with system actions. Governance was organized around plan level compliance, with refund determinations required to align to clients Summary Plan Descriptions and to be executed using independent judgment. The rollout emphasized procedural controls for preparing and tracking overpayment request letters to providers, audit quality in notes and adjustments, and ongoing education for staff in group health and welfare plan adjudication practices.
American National Insurance Company Insurance 5200 $4.5B United States Cognizant Cognizant Trizetto QicLink Core Admin Processing System 2012 n/a
In 2012, American National Insurance Company implemented Cognizant Trizetto QicLink as its Core Admin Processing System to centralize benefits administration workflows and run core policy administration processes. The engagement centered on converting and embedding the QicLink e2 platform into the insurer environment, with the Cognizant Trizetto QicLink application positioned as the system of record for enrollment and provider rate processing. The implementation included custom development and configuration work across multiple functional modules, including enrollment extracts, provider contract rates processing, and bespoke benefits administration extensions. Development activities delivered over 16 applications to support the conversion, using Visual Studio 2005, Fujitsu NetCOBOL for .NET, Micro Focus COBOL toolsets, and Microsoft SQL Server 2005, and incorporated automated testing, documentation, and deployment artifacts. Integration work was explicit and client specific, migrating file based VSAM data stores to relational SQL Server tables and converting mainframe COBOL code to a .NET execution model to support the QicLink e2 architecture. The program delivered complex interface migrations, notably a QicLink to Blue Cross Blue Shield integration, and produced custom enrollment extracts for HM Benefits Administrators and custom provider rate processing for St. John s Health System, while reverse engineering automation scripts used by Gallagher Benefit Services to preserve operational flows. Operational governance emphasized close collaboration among developers, business analysts, and solution designers to validate data conversion and get client data live on Cognizant Trizetto QicLink, with formal testing, documentation, and cutover procedures documented and executed. The project earned a SuccessFund award for the complex QicLink Blue Cross Blue Shield interface migration, reflecting recognition for execution on a high complexity integration within the benefits administration program.
ASR Health Benefits TPA Insurance 150 $51M United States Cognizant Cognizant Trizetto QicLink Core Admin Processing System 2020 n/a
In 2020 ASR Health Benefits TPA implemented Cognizant Trizetto QicLink as its Core Admin Processing System to centralize plan configuration and administration across its third-party administration services. The deployment targeted the Plan Build Team and Operations Technology Department, aligning system usage with dedicated client service teams that administer medical, dental, vision, short-term disability, Section 125, and consumer-directed health plans. Cognizant Trizetto QicLink was configured to support detailed plan design workflows, with Plan Building Specialists responsible for translating client specifications into plan structures including coverage rules, copays, deductibles, and benefit limits. The implementation emphasized configuration, maintenance, and troubleshooting of plan designs across medical, dental, vision and disability lines, and incorporated category-aligned capabilities such as plan templates, rule engine configuration, eligibility and benefit schedule configuration, and plan lifecycle management to enable accurate administration of self-funded plans. Operational coverage for QicLink extends across departmental teams rather than a single silo, with the Plan Build Team providing the system-level configuration needed by client service teams who handle day-to-day member and employer interactions. The environment supports a remote or hybrid work structure, and system ownership sits within Operations Technology with hands-on configuration performed by Plan Building Specialists under supervisory oversight. Governance and workflow changes were formalized through the Plan Building Supervisor role, which provides hands-on leadership for day-to-day operations, quality control of plan builds, and coordination with business stakeholders to resolve design issues. The Plan Building Supervisor and team continuously evaluate and leverage capabilities within Cognizant Trizetto QicLink to increase automation and reduce manual intervention while ensuring regulatory compliance and accurate implementation of client plan designs.
Aultman Health Plans Insurance 500 $408M United States Cognizant Cognizant Trizetto QicLink Core Admin Processing System 2016 n/a
In 2016 Aultman Health Plans implemented Cognizant Trizetto QicLink as its Core Admin Processing System to serve as the insurers primary claims processing and exchange system capability. The deployment established Cognizant Trizetto QicLink Claims Management System as the central processing engine for claims workflows across the organization. Configuration centered on claims management modules within Cognizant Trizetto QicLink, including claims intake and validation, rules based adjudication, remittance and payment processing, and automated workflow orchestration for exceptions and appeals. Standard category aligned capabilities such as EDI claim handling and claims edit engines were configured to support operational claims throughput and exception routing. Integrations tied the Cognizant Trizetto QicLink implementation into Aultman Health Plans internal systems, specifically an internal data warehouse used for reporting and analytics, and broader exchange system capabilities to enable electronic claims exchange with external trading partners. Data feeds and extract transform load processes were provisioned to synchronize claims transactions and adjudication results with the internal data warehouse. Operational scope encompassed claims operations and IT, with governance established to manage adjudication rules, claim edits, and data feed schedules through combined IT and claims process ownership. Rollout emphasized configuration governance and staged workflow activation to align operational teams with the new Cognizant Trizetto QicLink processing rules and reporting feeds.
Automated Group Administration Insurance 50 $13M United States Cognizant Cognizant Trizetto QicLink Core Admin Processing System 2016 n/a
In 2016, Automated Group Administration implemented Cognizant Trizetto QicLink as its Core Admin Processing System to serve its role as a third party administrator for self funded and fully insured employee benefit programs. The deployment was scoped to support AGA’s administration of hundreds of employer plans and to centralize claims and billing processing as the company’s primary administration platform. Configuration work focused on the functional modules explicitly used by AGA, including claim processing, billing, policy issue workflows, cafeteria Section 125 administration, banking and trust arrangements, and plan document and summary plan description production. Cognizant Trizetto QicLink was configured to support adjudication rules, billing cycles, provider payments and trust accounting consistent with Core Admin Processing System capabilities, and the full application name Cognizant Trizetto QicLink is used across operational documentation and client service workflows. Operational coverage included claims operations, benefits administration, finance and client service teams across AGA’s United States operations, with the system acting as the authoritative source for claims and billing records. Integrations are not specified in source materials, therefore integrations are limited to the internal handoffs and data models required to operate claims adjudication, billing reconciliation and plan administration within the Core Admin Processing System framework. Governance and process changes emphasized intensive claims cost control through computerized enhancements and oversight by experienced claims examiners, supported by executive management with deep industry experience. Reported outcomes include provisioning one of the company’s most advanced claims and billing administration systems, faster and more courteous claims service for clients, and improved accuracy in accounting of claims funds as part of routine operations.
Insurance 3161 $960M United States Cognizant Cognizant Trizetto QicLink Core Admin Processing System 2012 n/a
Healthcare 11000 $3.2B United States Cognizant Cognizant Trizetto QicLink Core Admin Processing System 2010 n/a
Healthcare 7200 $2.3B United States Cognizant Cognizant Trizetto QicLink Core Admin Processing System 2016 n/a
Healthcare 5000 $2.3B United States Cognizant Cognizant Trizetto QicLink Core Admin Processing System 2010 n/a
Insurance 900 $200M United States Cognizant Cognizant Trizetto QicLink Core Admin Processing System 2013 n/a
Showing 1 to 10 of 25 entries

Buyer Intent: Companies Evaluating Cognizant Trizetto QicLink

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

  1. Arista Networks, a United States based Professional Services organization with 4412 Employees
  2. Gastrointestinal Assocs Rockland, a United States based Healthcare company with 10 Employees
  3. Jenner & Block, a United States based Professional Services organization with 1000 Employees

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FAQ - APPS RUN THE WORLD Cognizant Trizetto QicLink Coverage

Cognizant Trizetto QicLink is a Core Admin Processing System solution from Cognizant.

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

Organizations such as UnitedHealth Group, Humana, Protective Life, American National Insurance Company and Lehigh Valley Health Network are recorded users of Cognizant Trizetto QicLink for Core Admin Processing System.

Companies using Cognizant Trizetto QicLink are most concentrated in Insurance and Healthcare, with adoption spanning over 21 industries.

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

Companies using Cognizant Trizetto QicLink range from small businesses with 0-100 employees - 20%, to mid-sized firms with 101-1,000 employees - 28%, large organizations with 1,001-10,000 employees - 32%, and global enterprises with 10,000+ employees - 20%.

Customers of Cognizant Trizetto QicLink 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 QicLink 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.