Directory › TriZetto Provider Solutions
TriZetto Provider Solutions: pricing signals, access, and small-practice fit
A Cognizant provider clearinghouse (4.4B annual transactions, 8,000+ payer connections) widely reached by small practices through their PMS/EHR (650+ integrations) rather than a self-serve API. NOTE: distinct from Cognizant's payer-side 'TriZetto' Facets/QNXT adjudication platform. Sales-gated, contract-first.
Visit TriZetto Provider Solutions →
What it does
270/271 Eligibility & benefits837 Claim submission835 ERA / remittance276/277 Claim status278 Prior authorization
- 270/271 Eligibility & benefits — Real-time check of whether a patient's coverage is active and what it covers (X12 270 request / 271 response).
- 837 Claim submission — Submit professional/institutional/dental claims to payers (X12 837P/837I/837D).
- 835 ERA / remittance — Electronic remittance advice — how the payer adjudicated a claim and what it paid (X12 835).
- 276/277 Claim status — Ask a payer the status of a submitted claim (X12 276 request / 277 response).
- 278 Prior authorization — Request/inquire on prior authorization for a service (X12 278).
Real-time: yes · Batch: yes
Known pricing signals
| Item | What's public |
|---|---|
| Per claim | reported / estimate Per claim ~$0.15–$0.40 Third-party benchmark, not official. Source: verifytx.com (explicitly labeled a non-official benchmark) · verified 2026-06-22 |
| entry | reported / estimate Entry / per-provider ~$300/mo Third-party estimate. Source: softwarefinder, selecthub · verified 2026-06-22 |
| soloActual | reported / estimate Solo practice actual bill ~$119.60/mo Single forum-reported real bill; not an official rate. Source: Student Doctor Network forum thread (the one verified forum quote captured) · verified 2026-06-22 |
| free | no public price No free tier found; no official published price. No public source — vendor quotes per account. |
Access requirements
Sales-gated, contract-first; enrollment rep schedules kickoff. Most small practices reach TPS via their PMS/EHR. Not self-serve.
Best-for-small-practice
Usable by solo (a forum-reported ~$119.60/mo) but enterprise-/volume-favored and contract-required. Call for a quote.
Do NOT conflate provider-side TPS with Cognizant's payer-side TriZetto Facets/QNXT.
Our recommender ranks all vendors against your exact functions, dev needs, and budget — transparently, with the reasoning shown.
Find the right one →Independent transparency directory. Pricing and access details are compiled from public vendor pages and practitioner reports and are dated and confidence-tagged — published = vendor's own public page, reported = third-party/forum estimate, no public price = none found. We do not invent numbers. Last verified 2026-06-22. Not affiliated with any vendor; verify current terms directly before contracting. Some outbound links may be referral links.