[Home](https://www.selecthub.com/) \> [Medical Billing](https://www.selecthub.com/category/medical-billing/) \> [Medical Billing Software](https://www.selecthub.com/c/medical-billing-software/) \> TriZetto Categories: * [Medical Billing Software](https://www.selecthub.com/c/medical-billing-software/) * [Medical Collections Software](https://www.selecthub.com/c/medical-collections-software/) * [Medical Software](https://www.selecthub.com/c/medical-software/) * [...](#) ## What Is TriZetto? **Industry Specialties:** Medical TriZetto by Cognizant is a set of health systems designed to simplify workflows and help provide more exceptional care. Health organizations of various sizes and specialties rely on it to streamline daily operations, including increasing administrative productivity and efficiency. It automates billing and payment processes in addition to managing insurance claims. Since health care professionals prefer spending more time focusing on the patient as opposed to time-consuming tasks like charting and documentation, it offers a comprehensive set of electronic modules to help them automate day-to-day clinical tasks. PRICE $ $ $ $ $ COMPANY SIZE S M L DEPLOYMENT PLATFORM [ Try Before You Buy. Request a Free Demo Today! Request Demo It's completely free! ](https://pmo.selecthub.com/get-product-demo/?category=Medical+Billing+Software&product%5Fname=TriZetto&origin%5Furl=https%3A%2F%2Fwww.selecthub.com%2Fp%2Fmedical-billing-software%2Ftrizetto%2F&product%5Flogo=https%3A%2F%2Fcdn.selecthub.com%2Fproducts%2F2122c699d5e3d2fa6690771845bd7904-80cc82badb700fbf66f43287f1496672%2Fresources%2Fnormal%2Flogo.png%3F1719500243) [Contributors](#view-contributors) ![Kashish Arora]() Written by Kashish Arora Technical Content Writer [ Read Bio](https://www.selecthub.com/author/kashish-arora/) ![Dianna Dragonetti]() Edited by Dianna Dragonetti Content Editor [ Read Bio](https://www.selecthub.com/author/dianna-dragonetti/) User Sentiment i ![User satisfaction level icon: great]() Based on 21 reviews: Add your rating: ![Screenshots]()![Screenshots]() Product Screenshots and Videos ## #1 TriZetto is ranked #1 in the Medical Billing Software product directory based on the latest available data collected by SelectHub. Compare the leaders with our In-Depth Report. [ Get the Report Now](https://pmo.selecthub.com/request-custom-scorecard?category%5Fslug=medical-billing-software&product%5Fslug=trizetto&page%5Ftype=product&slug=trizetto&product%5Fname=TriZetto&category=Medical+Billing+Software&origin%5Furl=https%3A%2F%2Fwww.selecthub.com%2Fp%2Fmedical-billing-software%2Ftrizetto%2F) ## TriZetto Pricing Based on our most recent analysis, TriZetto pricing starts at $300 (Monthly). [Get Price Quote](https://pmo.selecthub.com/get-product-pricing-medical/?category=Medical+Billing+Software&product%5Fname=TriZetto&origin%5Furl=https%3A%2F%2Fwww.selecthub.com%2Fp%2Fmedical-billing-software%2Ftrizetto%2F&product%5Flogo=https%3A%2F%2Fcdn.selecthub.com%2Fproducts%2F2122c699d5e3d2fa6690771845bd7904-80cc82badb700fbf66f43287f1496672%2Fresources%2Fnormal%2Flogo.png%3F1719500243&price=3) Price $ $ $ $ $ i Starting From $300 Pricing Model Monthly Free Trial Yes ([Request for Free](https://pmo.selecthub.com/free-trial/?product%5Fname=TriZetto&category=Medical+Billing+Software&product%5Flogo=https://cdn.selecthub.com/products/2122c699d5e3d2fa6690771845bd7904-80cc82badb700fbf66f43287f1496672/resources/normal/logo.png?1719500243)) ## Training Resources TriZetto is supported with the following types of training: Documentation In Person Live Online Videos Webinars ## Support The following support services are available for TriZetto: Email Phone Chat FAQ Forum Help Desk Knowledge Base Tickets Training 24/7 Live Support ## TriZetto Benefits and Insights Why use TriZetto? ### Key differentiators & advantages of TriZetto * **Improve Quality Health Outcomes:** Automate and integrate as many processes as possible to ensure health professionals can focus efforts on providing the best possible care for patients. Health analytics and insights assist clinicians in providing more accurate diagnosis and treatment. * **Increase Revenue:** Increase health organizations’ daily traffic, which in turn leads to more revenue opportunities. Tools to help manage billing and claims can also help optimize return amounts. Physicians can treat more patients without sacrificing the quality of care provided, allowing for more money to be collected. * **Promote Accessibility:** Access medical history, lab results, medication and more using online portals, any time and any place. View, edit and share records using any mobile device. * **Enhance Patient Experiences:** Provide patients with the ability to communicate with physicians online using the patient portal. Patients can exchange messages and video chat with healthcare professionals, access medical history, view lab results and more to take an active role in healthcare. * **Interoperability:** Address the changing industry landscape by achieving interoperability compliance for secure information exchange among physicians, patients and staff members. Data stored in the system is HIPAA compliant and only those with access can view it. ### Industry Expertise Serves multi-specialties such as ophthalmologists, dentists, psychiatrists and more. Suitable for healthcare organizations of any size. ## TriZetto Reviews Based on our most recent analysis, TriZetto reviews indicate a 'great' User Satisfaction Rating of 83% based on 21 user reviews from 3 recognized software review sites. ![User satisfaction level icon: great]() 21 reviews 83% of users would recommend this product ### Synopsis of User Ratings and Reviews Based on an aggregate of TriZetto reviews taken from the sources above, the following pros & cons have been curated by a SelectHub Market Analyst. #### Pros * **Cost Savings:** Electronic documentation decreases paperwork, enhances employee efficiency, and leads to reduced office supply and operational costs in the long term. * **Patient Engagement:** Patient portals empower individuals to access their health information, schedule appointments and communicate with healthcare providers. * **Patient Safety:** Features like medication alerts and allergy notifications help prevent errors and improve patient safety. #### Cons * **Learning Curve:** Staff may require time and training to adapt to new technology, potentially affecting productivity during the transition phase. * **Data Security Concerns:** EHRs are vulnerable to data breaches and cybersecurity threats, requiring robust security measures and ongoing vigilance. #### Researcher's Summary: TriZetto garners praise for its comprehensive suite of features that streamline medical billing processes, from patient registration and insurance verification to claim submission and payment processing. Users appreciate its ability to automate tasks, reducing manual effort and the potential for errors. The software's scalability makes it suitable for healthcare organizations of all sizes, accommodating the needs of both small practices and large enterprises. Additionally, TriZetto's analytics and insights empower healthcare professionals to make data-driven decisions, improving patient care and optimizing revenue cycles. However, some users note that TriZetto's robust functionality comes at a cost, as it can be more expensive than some competing solutions. The software's complexity may also present a learning curve for new users, requiring additional training and support. Despite these drawbacks, TriZetto remains a popular choice for healthcare organizations seeking a comprehensive and scalable medical billing solution. Its ability to automate tasks, improve efficiency, and provide valuable insights makes it particularly well-suited for large organizations with complex billing needs. ## Key Features * **Claims Processing:** Automatically verify insurance and sweep claims, scrubbing them of any mistakes or coding errors, which often lead to denials or delayed reimbursement. This speeds up the process of submitting claims while helping improve first-time acceptance rates. * **Claims Reconciliation:** Automate claims tracking throughout the reimbursement cycle. Monitor and convert EOB information into 835 remittance files to reduce errors and time spent reconciling claims. * **Rejection Prevention:** Apply coding edits to insurance claims prior to submission. Receive error messages to identify rejections before they happen, reducing claims rejections. * **Eligibility Checks:** Directly connect to insurance providers for real-time validation of patient eligibility. Integrate with practice management systems to seamlessly update patient insurance information. * **Patient Responsibility Estimation:** Generate patient cost estimates in real time to improve client satisfaction and likelihood of payment. * **Prior Authorization:** Automatically send prior authorization requests for treatment to patient insurance providers. Communicate with payers and track authorization requests within the provider portal. * **Patient Payments:** Provide patients with a selection of payment options, including credit card processing, a payment portal and text-to-pay processing, to improve patient experiences. * **Denials Management:** Receive claims denial notifications, along with causes and potential for appeal. Monitor error, edit and payer trends to reduce future denials. * **Contract Management:** Audit payments against contractual agreements with payers. Automatically generate documents and track efforts to dispute underpaid obligations. * **RCM and Coding Services:** Outsource revenue cycle management and coding processes, such as billing, patient statements, registration and insurance claims coding, to focus more on patient care and less on administrative tasks. * **Credentialing:** Check and manage employee credentials against payer requirements to ensure maximum reimbursement. Store employee documentation to remain up-to-date on expired credentials. ## Approach to Common Challenges * **Workflow Disruptions:** TriZetto offers customizable EHR solutions that integrate smoothly into existing workflows, minimizing disruptions and optimizing operational efficiency. * **Data Security and Privacy:** TriZetto implements robust security measures and compliance protocols within its EHR solutions, ensuring data privacy and mitigating security risks. * **Regulatory Compliance:** TriZetto is designed to support regulatory compliance, facilitating reporting and documentation to meet industry standards and avoid penalties. ## Cost Of Ownership Frequently asked questions regarding TriZetto pricing include: **Q. What is the starting price of TriZetto?** A. TriZetto does not list prices directly. Based on recent analysis, costs typically range from $300 per provider per month. For an exact quote, it's recommended to contact their sales team. **Q. What are the typical pricing factors that influence TriZetto’s cost?** A. While TriZetto’s pricing details aren't publicly available, some software charges more for additional users or functionalities. It's best to contact their sales team for a personalized quote to understand the exact cost based on your specific needs. **Q. Are there any additional costs associated with TriZetto apart from the monthly subscription?** A. There may be additional fees for installation, implementation, training or data migration services. Get clear answers about these with TriZetto’s sales team to avoid any problems later. ## Limitations At the time of this review, these are the limitations according to user feedback: * Significant initial investment. * Inactive customer support. * Limited customization options for open-source platforms. * Glitchy integrations. ## Training Resources * **Resource Library:** Addresses common challenges faced by healthcare organizations through practical tips, case studies and expert advice shared through white papers, blogs and webinars. ## FAQs Frequently asked questions regarding TriZetto include: **Q. What products does TriZetto offer?** A. TriZetto offers a range of products including its flagship Enterprise Core Administration Platform (ECAP), revenue cycle management solutions, population health management tools and analytics platforms. **Q. What are the implementation costs associated with TriZetto's solutions?** A. Implementation costs vary depending on the specific solution, scope of deployment and organizational needs. TriZetto typically provides customized pricing based on these factors. **Q. Does TriZetto offer training and support for its solutions?** A. Yes, TriZetto provides comprehensive training programs and ongoing support to help healthcare organizations effectively implement and use its solutions. This includes onsite training, webinars, white papers and more. **Q. Is TriZetto compliant with healthcare regulations like HIPAA?** A. Yes, TriZetto adheres to strict regulatory standards, including HIPAA compliance, to ensure the security and privacy of patient data across its platforms and solutions. **Q. What are the benefits of using TriZetto's analytics and reporting tools?** A. TriZetto's analytics and reporting tools provide actionable insights into healthcare data, enabling organizations to make informed decisions, improve clinical outcomes and enhance operational efficiency. **Q. How can I contact TriZetto for more information or support?** A. You can contact TriZetto through the Contact Us page on their website. ![Banner of Pricing guide for TriZetto]() ## Pricing & Cost Details See the Price/User for the top medical billing software… plus the most important considerations and questions to ask when shopping. See Pricing Details ## Head-to-Head Comparison ![TriZetto Software Tool]() vs * [Brightree](https://www.selecthub.com/medical-billing-software/trizetto-vs-brightree/) * [Claimocity](https://www.selecthub.com/medical-billing-software/trizetto-vs-claimocity/) * [ClearGage](https://www.selecthub.com/medical-billing-software/trizetto-vs-cleargage/) * [Dart Chart](https://www.selecthub.com/medical-billing-software/trizetto-vs-dart-chart/) * [Ensora Centralized Billing](https://www.selecthub.com/medical-billing-software/trizetto-vs-ensora-centralized-billing/) * [EZClaim](https://www.selecthub.com/medical-billing-software/trizetto-vs-ezclaim/) * [Healthpac](https://www.selecthub.com/medical-billing-software/trizetto-vs-healthpac/) * [MedEvolve](https://www.selecthub.com/medical-billing-software/trizetto-vs-medevolve/) * [Medinet Billing](https://www.selecthub.com/medical-billing-software/trizetto-vs-medinet-billing/) * [MedWorxs](https://www.selecthub.com/medical-billing-software/trizetto-vs-medworxs-evolution/) * [OpenPractice](https://www.selecthub.com/medical-billing-software/trizetto-vs-openpractice/) * [PracticeAdmin](https://www.selecthub.com/medical-billing-software/trizetto-vs-practiceadmin/) * [Therabill](https://www.selecthub.com/medical-billing-software/trizetto-vs-therabill/) * [Waystar](https://www.selecthub.com/medical-billing-software/trizetto-vs-waystar/) * [Wellpay](https://www.selecthub.com/medical-billing-software/trizetto-vs-wellpay/) ## Relevant Articles [ Best Medical Claims Processing Software](https://www.selecthub.com/medical-billing/best-medical-claims-processing-software/) ## Pricing for Medical Billing Software ![Banner of Pricing guide for Medical Billing Software]() ## Similar Products Here are the most similar products to TriZetto. [ Nobility RCM ](https://www.selecthub.com/p/medical-billing-software/nobility-rcm/) [ billrMD ](https://www.selecthub.com/p/medical-billing-software/billrmd/) [ Medicraft ](https://www.selecthub.com/p/medical-billing-software/medicraft/) [ Medica Billing Solutions ](https://www.selecthub.com/p/medical-billing-software/medica-billing-solutions/) [ MedWorxs ](https://www.selecthub.com/p/medical-billing-software/medworxs-evolution/) [ Healthpac ](https://www.selecthub.com/p/medical-billing-software/healthpac/) [ MedEvolve ](https://www.selecthub.com/p/medical-billing-software/medevolve/) [ Ensora Centralized Billing ](https://www.selecthub.com/p/medical-billing-software/ensora-centralized-billing/) [ Wellpay ](https://www.selecthub.com/p/medical-billing-software/wellpay/) [ Brightree ](https://www.selecthub.com/p/medical-billing-software/brightree/) ## About the Contributors The following expert team members are responsible for creating, reviewing, and fact checking the accuracy of this content. [ ](https://www.selecthub.com/author/kashish-arora/) Written by [Kashish Arora](https://www.selecthub.com/author/kashish-arora/) Technical Content Writer Kashish Arora was a Technical Content Writer at SelectHub who specialized in developing content for accounting, EHR, EMR, practice management, patient scheduling and EPM. She holds a master's degree in Journalism from Symbiosis Institute of Media and Communication. When not writing, she eats fictional quotes, listens to Latin jazz and reweaves the missing parts of her spiritual tapestry. [See Full Bio](https://www.selecthub.com/author/kashish-arora/) [ ](https://www.selecthub.com/author/dianna-dragonetti/) Edited by [Dianna Dragonetti](https://www.selecthub.com/author/dianna-dragonetti/) Content Editor As an editor, Dianna Dragonetti leads a team of five writers in writing about a variety of software, with an emphasis on how these tools empower businesses. Categories include accounting, learning management systems, content management systems, supply chain management, and electronic data interchange. [See Full Bio](https://www.selecthub.com/author/dianna-dragonetti/) Your review has been submitted and should be visible within 24 hours. Review Title Pros Cons Overall feedback Your name Your job title Industry [ Choose your main industry](javascript:void%28%29) * [Accounting / CPA](javascript:void%28%29) * [Advertising](javascript:void%28%29) * [Aerospace & Defense](javascript:void%28%29) * [Agriculture](javascript:void%28%29) * [Apparel](javascript:void%28%29) * [Architecture](javascript:void%28%29) * [Auto Dealership](javascript:void%28%29) * [Automotive](javascript:void%28%29) * [Banking & Financial Services](javascript:void%28%29) * [Banking & Mortgage](javascript:void%28%29) * [Chemicals](javascript:void%28%29) * [Construction & Engineering](javascript:void%28%29) * [Construction / Contracting](javascript:void%28%29) * [Consulting](javascript:void%28%29) * [Consumer Products](javascript:void%28%29) * [Distribution](javascript:void%28%29) * [E-commerce](javascript:void%28%29) * [Education](javascript:void%28%29) * [Electronics](javascript:void%28%29) * [Energy & Utilities](javascript:void%28%29) * [Federal Government](javascript:void%28%29) * [Field Maintenance](javascript:void%28%29) * [Food & Beverage](javascript:void%28%29) * [Healthcare / Social Services](javascript:void%28%29) * [Hospitality / Gaming / Travel](javascript:void%28%29) * [Human Resources](javascript:void%28%29) * [Industrial Machinery](javascript:void%28%29) * [Information Technology & High Tech](javascript:void%28%29) * [Insurance](javascript:void%28%29) * [Legal](javascript:void%28%29) * [Maintenance / Field Service](javascript:void%28%29) * [Manufacturing](javascript:void%28%29) * [Marketing Services](javascript:void%28%29) * [Media & Communications / Entertainment](javascript:void%28%29) * [Mill Products](javascript:void%28%29) * [Mining / Metals](javascript:void%28%29) * [Mortgage](javascript:void%28%29) * [Non-Profit](javascript:void%28%29) * [Not Available](javascript:void%28%29) * [Oil & Gas](javascript:void%28%29) * [Other](javascript:void%28%29) * [Other Services](javascript:void%28%29) * [Payroll Provider](javascript:void%28%29) * [Pharmaceuticals](javascript:void%28%29) * [Professional Employer Organization](javascript:void%28%29) * [Professional Services](javascript:void%28%29) * [Property Management](javascript:void%28%29) * [Public Sector](javascript:void%28%29) * [Real Estate](javascript:void%28%29) * [Recruiting Agency](javascript:void%28%29) * [Religious Institutions](javascript:void%28%29) * [Retail](javascript:void%28%29) * [Sales & Marketing](javascript:void%28%29) * [Semiconductors](javascript:void%28%29) * [Software / IT](javascript:void%28%29) * [Sports and Recreation](javascript:void%28%29) * [Staffing Agency](javascript:void%28%29) * [State & Local Government](javascript:void%28%29) * [Telecommunications](javascript:void%28%29) * [Third-Party Administrator](javascript:void%28%29) * [Transportation & Logistics](javascript:void%28%29) * [Wholesale Distribution](javascript:void%28%29) Company Size [ Choose your company size](javascript:void%28%29) * [1 employee](javascript:void%28%29) * [2 to 9 employees](javascript:void%28%29) * [10 - 19 employees](javascript:void%28%29) * [20 - 49 employees](javascript:void%28%29) * [50 - 99 employees](javascript:void%28%29) * [100 - 499 employee](javascript:void%28%29) * [500 - 999 employees](javascript:void%28%29) * [1,000 - 2,499 employees](javascript:void%28%29) * [2,500 - 4,999 employees](javascript:void%28%29) * [5,000 - 9,999 employees](javascript:void%28%29) * [10,000 - 24,999 employees](javascript:void%28%29) * [25,000 - 49,999 employees](javascript:void%28%29) * [50,000 + employees](javascript:void%28%29) ```json { "@context": "https://schema.org", "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Home", "item": "https://www.selecthub.com/" }, { "@type": "ListItem", "position": 2, "name": "Medical Billing", "item": "https://www.selecthub.com/category/medical-billing/" }, { "@type": "ListItem", "position": 3, "name": "Medical Billing Software", "item": "https://www.selecthub.com/c/medical-billing-software/" }, { "@type": "ListItem", "position": 4, "name": "TriZetto" } ] } { "@context": "http://schema.org", "@type": "SoftwareApplication", "name": "TriZetto", "description": "TriZetto by Cognizant is a set of health systems designed to simplify workflows and help provide more exceptional care. Health organizations of various sizes and specialties rely on it to streamline daily operations, including increasing administrative productivity and efficiency. It automates billing and payment processes in addition to managing insurance claims. Since health care professionals prefer spending more time focusing on the patient as opposed to time-consuming tasks like charting and documentation, it offers a comprehensive set of electronic modules to help them automate day-to-day clinical tasks.", "review": { "@type": "Review", "author": { "@type": "Person", "name": "Kashish Arora", "reviewBody": "TriZetto garners praise for its comprehensive suite of features that streamline medical billing processes, from patient registration and insurance verification to claim submission and payment processing. Users appreciate its ability to automate tasks, reducing manual effort and the potential for errors. The software's scalability makes it suitable for healthcare organizations of all sizes, accommodating the needs of both small practices and large enterprises. Additionally, TriZetto's analytics and insights empower healthcare professionals to make data-driven decisions, improving patient care and optimizing revenue cycles. However, some users note that TriZetto's robust functionality comes at a cost, as it can be more expensive than some competing solutions. The software's complexity may also present a learning curve for new users, requiring additional training and support. Despite these drawbacks, TriZetto remains a popular choice for healthcare organizations seeking a comprehensive and scalable medical billing solution. Its ability to automate tasks, improve efficiency, and provide valuable insights makes it particularly well-suited for large organizations with complex billing needs." } }, "image": "https://cdn.selecthub.com/products/2122c699d5e3d2fa6690771845bd7904-80cc82badb700fbf66f43287f1496672/resources/normal/logo.png?1719500243", "aggregateRating": { "@type": "AggregateRating", "ratingValue": "83", "bestRating": "100", "worstRating": "1", "ratingCount": "21" }, "offers": { "@type": "Offer", "priceSpecification": { "@type": "priceSpecification", "price": "300", "priceCurrency": "USD" } }, "positiveNotes": { "@type": "ItemList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Cost Savings: Electronic documentation decreases paperwork, enhances employee efficiency, and leads to reduced office supply and operational costs in the long term." }, { "@type": "ListItem", "position": 2, "name": "Patient Engagement: Patient portals empower individuals to access their health information, schedule appointments and communicate with healthcare providers." }, { "@type": "ListItem", "position": 3, "name": "Patient Safety: Features like medication alerts and allergy notifications help prevent errors and improve patient safety." } ] }, "negativeNotes": { "@type": "ItemList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "Learning Curve: Staff may require time and training to adapt to new technology, potentially affecting productivity during the transition phase." }, { "@type": "ListItem", "position": 2, "name": "Data Security Concerns: EHRs are vulnerable to data breaches and cybersecurity threats, requiring robust security measures and ongoing vigilance." }, { "@type": "ListItem", "position": 3, "name": "" } ] }, "applicationCategory": "Medical Billing Software" } ```