TriZetto Provider Solutions Clearinghouse (Mostly Ambulatory) Commentary
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Subject Expert
Shawn Howell
Engagement Partner
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User Commentary
Value
I hear people complain that the solution costs more than our old system. But there are a lot of...
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Operations
Training from Cognizant was just an email that told us how to sign up for stuff. The challenge with...
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Relationship
I don't have anything specific that Cognizant could do to improve their solution. The only thing I...
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Relationship
I have been calling Cognizant lately. I try to call fairly often just because there have been times...
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Relationship
We have no issues with the vendor's service.
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Relationship, Product
I’ve not had experience with another third-party billing software, so Cognizant's solution is my...
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Relationship
Cognizant’s support people always follow up to make sure the issue we contacted them about was resolved....
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Product
There are some insurance companies where we're still not able to import our ERA directly. We still...
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Operations, Product
Most of our staff members are new, so the most important thing for us is getting trained on...
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Operations
Cognizant’s training involves them giving us an online video to watch, and then we figure out how to...
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Relationship
Every communication with Cognizant is electronic. I have to open a ticket through the website and...
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Product
I haven’t used denials management much in the system, but we’re still working through some kinks...
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Relationship
We get email messages all the time from Cognizant if a payer isn’t working today because of some...
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Value
I’ve already recommended the system a thousand times. People ask me what I use, and I tell them how...
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Loyalty, Product
We're working on our claim rejections and submitting our claims, and the rejections that come in are...
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Relationship
I've only had one incident, but anytime I've had an issue, it's been fixed immediately. I just have...
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Operations
With training, the vendor showed me what to do and walked me through a couple of things. They...
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Product
We're a very small practice, and I wear many hats, so I try to build the easiest possible processes....
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Relationship
Cognizant goes above and beyond quite often. We had an insurance claim that we were trying to...
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Loyalty
If Cognizant weren’t fair and transparent with their charges, we would have changed vendors by now....
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Product
I don't even know whether this is possible to address, but there are times when the denial...
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Operations
Every time we've done training with Cognizant, the training is so broad. We need more one-on-one...
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Loyalty
We got a new PM system, but we started having issues with it and the eligibility files that we're...
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Relationship
We've never had any issues with Cognizant’s customer service people. They’re phenomenal. They are...
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Loyalty, Product
We’ve been looking at other solutions, and we’ve seen some that would let us stop a claim before it...
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Loyalty, Product
I don't hear much about Cognizant’s future road maps, and I do try to stay on all of their posts...
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Culture, Value
Cognizant charges a flat fee. We don't get overages for running eligibility or anything like that....
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Operations, Product
It's not hard to use the clearinghouse. There's nothing to train on. If someone knows how to use a...
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Loyalty
Cognizant has a product that is geared more toward hospital billing, and I’ve looked at moving to it...
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Product
With the solution, we can have a parent site and all these child sites, and we can set up our...
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Relationship
I've been very happy with the clearinghouse, and when we’ve wanted to do something new or weird,...
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Relationship
I love the solution, and I haven't really seen a difference since the product went under Cognizant....
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Culture, Value
Cognizant’s pricing is very clear. I've had a good contract for a long time. There are increases...
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Loyalty
One of our hospitals changed EHRs several years ago, and they were pushing me to change...
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Product
We have no issues with the system and have found it to be fairly easy to use and maneuver. We...
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Product
We actually use a third party for our revenue cycle services. They handle the scrubbing and billing...
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Product
A lot of people want to use TriZetto Provider Solutions Clearinghouse. The platform offers much more...
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Relationship
CMS introduced a new attestation requirement for organizations using clearinghouses for eligibility...
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Relationship
Aside from Cognizant's support, I think TriZetto Provider Solutions is a great product. When I had...
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Product
I like how we can look up the status of claims in the system. However, the reason a claim gets...
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Relationship, Product
I don't even know whether this is something that could be done, but it would be helpful to be able...
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Relationship, Operations
I would definitely highlight that if someone does need to reach out to Cognizant, they are...
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Product
Cognizant's clearinghouse is the only one I've ever used, so I have nothing to compare it to, but...
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Operations
I haven't had much training, and the one little bit that I had was extremely thorough. It would be...
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Relationship
We have meetings with our Cognizant representative, and we are all really satisfied with them. We...
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Product
If we have to change information in the system, we have to have the vendor do it because we don’t...
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Product
I don't really understand the EDI side of everything. There are a lot of ins and outs with the EDI...
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Relationship, Product
We’ve hardly had any problems with Cognizant, and our representative is really good at helping us...
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Value
I don't know what the system costs a month, and I have to keep removing providers because we get...
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Product
The software is easy to use. We're pretty happy with the solution, and we get quarterly reports.
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Product
The way that Cognizant rejects claims is really good. I can see why things are getting rejected. The...
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Relationship
When we have issues, Cognizant likes to push paper resources, but sometimes we just need a little...
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Relationship
Overall, the vendor's people are great. They're responsive. The software is clear. I don't have any...
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Relationship, Value
I do not use everything in the software. I think I could do a lot more. I use just a few things. But...
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Relationship
Cognizant answers me right away. They're quick, and they know what they're talking about. I don't...
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Relationship
The vendor is very responsive and accurate. They're fast. I don't have tons of extra time, and if I...
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Product
The Cognizant system is clean. It does what we want it to do, and it answers what we want it to...
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Product
Sometimes the solution doesn’t communicate with my program. I'll see something in the solution, and...
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Operations
I didn't get trained directly by Cognizant. There's probably more that I could know about the...
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Value
We get our money’s worth because the system saves us a lot of time. We have to verify that all the...
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Product
The system is convenient in the sense that we can run one report, and then it runs all through the...
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Loyalty, Operations
My advice for those looking at using the system would be to get trained more thoroughly....
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Relationship
If I have a question, I call Cognizant and talk to them, and they help me figure things out. They...
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Relationship, Product
I've not had any issues with the solution, and that is nice. It’s easy to find and pull up...
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Relationship, Product
Right now, the vendor is having issues with claim statusing. There has been an issue with certain...
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Relationship
I am satisfied with the service received. I have worked with this clearinghouse for a long time and...
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Loyalty, Product
We do not do any edits in the system, so that is a downside, and we instead do everything through...
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Relationship, Value
Making that connection with Cognizant analysts to help us evaluate clean claims trends, automation,...
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Loyalty, Relationship, Product
We have had a lot of outages with the solution. There are things it cannot pull, and that is why I...
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Product
Some of the processes in the solution are very manual. For example, credentialing and putting in all...
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Product
The clearinghouse meets our needs. We’re very small. We’ve gotten smaller over the years. When we...
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Product
Switching programs is never easy. We’ve been getting smaller, so I don’t run that much through...
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Relationship
We have been happy with the system. Cognizant has always tried to help when I have had issues. I am...
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Relationship, Product
The clearinghouse is easy to use. I’ve only had a few issues. There was one issue with trying to get...
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Value
I was not thrilled with Cognizant’s yearly flat fee going up like it did when we just keep getting...
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Operations
I don't engage myself and look at what Cognizant's training opportunities are, but they have live...
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Relationship
I'm not satisfied with Cognizant's denials management. They're not very helpful, and they never seem...
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Loyalty, Relationship
We’re so embedded with the firm now that it would take too much energy to change.
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Relationship
Sometimes I work into the night, and with Cognizant, there is no help after hours Monday through...
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Value
We're not getting the information we need about denials from the solution. When we bring that up to...
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Product
I like that we submit the claims in the solution, and then they go out the door almost immediately.
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Product
If I were making the choice today, there are some other options out there that are a little better...
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Product
We are happy with claim submissions, receiving payments, and resolving rejected claims.
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Relationship
Cognizant's product is excellent. Cognizant has great communication and resources.
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Culture
I do not feel like TriZetto is fair or transparent with pricing. They announced a price increase for...
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Operations
Cognizant's training program is average, and TriZetto Provider Solutions Clearinghouse does the...
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Product, Value
Enrollment is included in Cognizant's clearinghouse and works okay, but not great, and the same...
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Loyalty, Product
Cognizant's clearinghouse is adequate overall, and it is generally easy to make changes when issues...
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Relationship
I have to send questions to Cognizant here and there, and they are always good about getting back to...
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Relationship
When we get rejections from TriZetto, I don’t always understand what the rejections are all about....
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Relationship
Cognizant is reaching out to me to try to build a workflow. It just shouldn't be a new experience...
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Loyalty, Product
There isn't really a good workflow for denials management in the solution. We have to run a series...
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Product, Value
I would love to use the clearinghouse to its fullest, like to look for a patient's eligibility. But...
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Product
Doing secondary billing with the clearinghouse is hard. I don't do it a lot because I feel like that...
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Product
We love the clearinghouse. Everything works great. It is very convenient. I love that I can go back...
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Relationship
TriZetto is great. In the last few months, I have had to reach out to a couple of vendors, and one...
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Culture
I haven't had any new technology from Cognizant, and nobody has put forth anything. If they have it,...
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Relationship
Our technology person always has issues getting Cognizant to answer questions. We went live with the...
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Product, Value
The strengths of Cognizant's system are that it is reliable, seems cost-effective, and works well in...
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Loyalty, Product
I might not get Cognizant's clearinghouse if I were doing things again because the...
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Operations, Product
The reports and insights don't seem very obvious. There has been no real training with those things....
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Relationship, Product
We have a really good relationship with Cognizant. Their reporting systems are great. We can pull...
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Product
We have had a few issues with submitting secondary claims. That is the only problem we seem to have....
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Product
I am highly likely to recommend the system. I would tell others about the ease of use and that...
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Relationship
We have had great experiences with the vendor's web and phone support. Whenever we call with an...
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Product
I am completely satisfied with the way the system manages denials. The only problem I have is that...
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Relationship
Cognizant's system is very easy to operate. Users don't need to be computer gurus to work it. I have...
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Product
I wish the system had better notifications when there was a denial, like a pop-up or a home-screen...
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Relationship
When Cognizant says they keep current with the new insurance companies and can do ERAs and...
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Loyalty, Product
Prior to Cognizant's system, we worked with a different clearinghouse, and I don't think it was...
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Loyalty, Relationship
The one thing I'm concerned with is that Cognizant is incredibly difficult to get in touch with. If...
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Operations
I had to get some support from Cognizant with training on a new process that we had to learn for...
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Product
There are a couple of functionalities that still aren't perfect with Cognizant's clearinghouse. It...
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Product
In the time we have had Cognizant's system, there has been improvement. The product used to be a...
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Product
With my old system, I liked that I could force something to go through. Cognizant's system won't let...
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Operations
We expected our implementation of the system to be hard. The person from Cognizant that I dealt with...
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Operations
I didn't get a lot of training for the system. I don't know whether our calls with the vendor were...
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Relationship, Operations
I haven't needed support since we went live with TriZetto Provider Solutions Clearinghouse, but...
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Value
I have always had good experiences with Cognizant. We used them years ago. We moved away for a...
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Loyalty
The system does what we thought it was going to do. I plan on never changing systems again unless I...
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Operations, Product
TriZetto Provider Solutions Clearinghouse is integrated, and I rarely have to go to the vendor's...
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Relationship, Operations
The Cognizant representative who helped us set everything up was very helpful. Switching over to a...
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Product
TriZetto Provider Solutions Clearinghouse is pretty basic. If a user can't figure it out, then that...
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Relationship, Operations
When I go in to the system, there are a lot of emails from Cognizant with information about things...
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Product
I have been using the product for many years, and I love it.
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Product
I have used a number of clearinghouses throughout my long career, and TriZetto Provider Solutions...
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Operations
The product is easy to use, and Cognizant has great training.
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Operations, Product
I find the onboarding on new insurance companies challenging.
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Relationship, Product
We are truly satisfied with the product, its functions, and the vendor's support.
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Value
Cognizant is well worth the money we pay them. The product is very accurate and helpful.
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Product
Some claims are rejected up front, even if there is no issue with them.
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Relationship, Product
Cognizant has always been ahead of the game. During the change from ICD-9 to ICD-10, our claims were...
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Product
I have been using TriZetto Provider Solutions Clearinghouse for several years, and I have...
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Product
Some of Cognizant's tools are locked behind paywalls, and that is inconvenient. However, I can still...
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Operations, Product
The system is very straightforward. Finding payments is simple. The claims submission process is...
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Product
The system's reporting is not that strong. Cognizant has some add-ons, like denial management. It...
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Relationship
Sometimes Cognizant’s support is not great. When the customer first transitions onto the system,...
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Commentary Summary
Comment Type Breakout