Boston, 02109, MA,
United States
Public Consulting Group
Public Consulting Group, a prominent reseller, system integrator, and consulting company, that plays a vital role in numerous system integration and digital transformation initiatives. Public Consulting Group collaboration with software players such as Cognizant empowers organizations to embrace disruptive technologies and accelerate their journey to the cloud, thus reshaping their business models.
| Reseller and SI | Vendor | Application | Category | Market |
|---|---|---|---|---|
| Public Consulting Group | Cognizant | Cognizant TriZetto Facets | Core Admin Processing System | ERP Services and Operations |
| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Product | Category | When | Insight |
|---|---|---|---|---|---|---|---|---|---|---|
|
|
Commonwealth Care Alliance | Healthcare | 2600 | $2.6B | United States | Cognizant | Cognizant TriZetto Facets | Core Admin Processing System | 2022 |
In 2022, Commonwealth Care Alliance announced that Cognizant would implement Cognizant TriZetto Facets as its Core Admin Processing System and take over third-party administrator responsibilities from Public Consulting Group. The announcement positioned the Cognizant TriZetto Facets implementation as a centralized claims platform to support all CCA product lines offered in Massachusetts and Rhode Island and to address provider-facing claim submission and adjudication workflows.
The implementation narrative centers on core claims processing capabilities, including claims intake for paper and electronic submissions, claims adjudication logic, eligibility verification workflows, and EDI processing. Cognizant TriZetto Facets was designated to operate alongside an Availity Essentials Provider Portal and an EDI Gateway solution to streamline provider eligibility checks and electronic claim flows, reflecting standard Core Admin Processing System functionality for payor-side claims operations.
Deployment and operational scope were defined for payer claims operations and the provider network across CCA product lines in Massachusetts and Rhode Island, with Cognizant assuming the third-party administrator role previously held by Public Consulting Group. Go-live timing was communicated for Q2 2023, and CCA committed to a program cadence of monthly communications about key dates and activities to coordinate provider outreach and internal readiness across claims and provider network teams.
Governance emphasis in the rollout messaging focused on centralized claim processing through Cognizant TriZetto Facets and the use of a single system to unify adjudication across products. Stated objectives for the initiative included improving service level agreement turnaround time, enhancing paper and electronic claim submission processes, and consolidating claims processing into one system, with CCA providing ongoing communications and a provider contact channel to support the transition.
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