Built for health plans.
By people who also run providers.
A Cognizant TriZetto partner bench for Facets, QNXT, NetworX and CareAdvance, working alongside an Epic-credentialed provider-side practice. Claims, auth, denials, payment integrity, CMS-0057 prior-auth API, Da Vinci, and provider-data work — one accountable bench, both ends of the wire.
Partner
Cognizant TriZetto
180+
Epic-Credentialed
3
Delivery Centers
24×7
Operations
Provider · Clearinghouse · Payer · Member
live wireBench
On both sides
The Proof
Certified · Partnered · Recognized
Real platform certs, real analyst recognition, real third-party security attestations.
The wire between provider and payer is where projects stall. We staff that wire on purpose.
Most TriZetto partners know one end. Most Epic partners know the other. We run an active practice on both, and the analysts talk to each other on the same Slack.
Provider Side
Epic CSD & MyChart, Hyperdrive support, App Orchard / Connection Hub work, EHR-side integration for every interop flow.
- 180+ Epic-credentialed
- Workday CoE for finance & HR
- 24×7 managed services bench
- BytePad — legacy archive activation
One
Bench
Payer Side
Cognizant TriZetto partner bench on Facets and QNXT. Claims, auth, denials, payment integrity, CMS-0057 API, provider data.
- Claims & RCM Operations
- TriZetto Facets & QNXT ops
- CMS-0057 prior-auth API build
- Provider Data Management
Cognizant
TriZetto Partner
180+
Epic-Credentialed
3
Delivery Centers
24×7
Member & Provider
full Payer capability.
Eight delivery practices on one accountable bench. Pick the entry point, we'll bring the rest.
Claims & RCM Operations
Eligibility, authorization, payment review, discrepancy analysis, denial codes, and onshore tasking — end to end, fully traceable, audit-ready.
TriZetto Platform Ops
Facets, QNXT, NetworX, CareAdvance. Configuration, custom dev, upgrades, and run-state — under our Cognizant TriZetto partner program.
CMS-0057 & Da Vinci
FHIR R4 prior-auth API for CMS-0057-F (effective 2027), HL7 Da Vinci CRD/DTR/PAS — built on the payer side, validated against Epic on ours.
Eligibility & Authorization
Real-time verification, prior-auth validation, gold-carding, retro-auth resolution, COB / TPL reconciliation — wired to the rule library.
Denials & Appeals
CARC / RARC root-cause, payer-specific resubmission playbooks, write-off prevention, audit-ready trail. Generic "denied, see EOB" is not acceptable here.
Provider Data Management
Directory accuracy (No Surprises Act), credentialing intake, network-adequacy reporting, roster reconciliation across Facets/QNXT and downstream surfaces.
Payment Integrity
Pre-pay edits, post-pay recovery, FWA, COB/TPL. Pre-pay catches what post-pay would have written off — fewer takebacks, less abrasion.
Risk, Stars & Quality
HEDIS abstraction support, supplemental data ingest, RAF / HCC accuracy, Stars analytics, CAHPS / HOS readiness — wired to the Star-rating revenue.
Cognizant TriZetto partner.
InterScripts partnered with Cognizant TriZetto to support clients using TriZetto's payer platform suite. Our Facets and QNXT staff hold platform certifications through the Cognizant partner program — combined with our provider-side Epic experience, plans get one bench that covers both ends of the wire.
Certified · Partnered · Recognized
* Gartner's recognition is for InterScripts BytePad in the Healthcare Data Archival Market Guide. All marks are property of their respective owners. Cards on this page indicate partnerships and certifications, not endorsements.
Platform-Certified Bench
Our Facets and QNXT staff hold platform certifications through the Cognizant TriZetto partner program — not self-attested.
Dual-Side Literacy
Our payer-ops bench works alongside an Epic-credentialed provider-side practice. Interop projects benefit from people who have lived both sides.
Onshore + Near + Offshore
Chantilly · Medellín · Hyderabad. Sensitive work onshore, scaled work nearshore or offshore, all under one governance model.
Outcomes your CFO & Compliance both want.
Every claim
Addressed
No claim left unaddressed. Denial reasons identified at the code level, resubmission paths documented.
Verified
Data Integrity
Payment updates verified against the 835 before they're shared — never relayed from a stale screen.
<2 wk
Time to Ramp
From signed SOW to first dedicated payer-ops staff on the floor.
Outcome statements describe how we deliver, not guaranteed numerical SLAs. Specific volumetric metrics are defined in each SOW.
Why plans pick InterScripts.
The reasons VPs of Operations and Directors of Interoperability tell us they renew — not boilerplate, the things that show up in QBRs.
01
Both Sides of the Wire
We run Epic for providers. We run TriZetto for payers. The wire between them is where most interop projects stall — that's exactly where we live.
180+ Epic-credentialed analysts
02
Cognizant TriZetto Partner
Facets and QNXT staff hold platform certifications through the Cognizant TriZetto partner program — confirmed by the partner program, not self-attested.
Facets · QNXT · NetworX · CareAdvance
03
Onshore + Near + Offshore
Chantilly VA · Medellín Colombia · Hyderabad India. Sensitive work onshore, scale work in the time-zone you pick. One governance model, no vendor finger-pointing.
3 delivery centers · 24×7
04
HITRUST r2 · HIPAA · SOC 2
Security, privacy, and compliance verified by independent auditors. PHI handling is governed and logged, not just promised in the BAA.
HITRUST r2 · SOC 2 II · ISO 27001
What health plan clients say.
Quotes are anonymized to protect customer confidentiality. Named references available under mutual NDA.
“The depth of TriZetto experience was immediate. Within two sprints they were running Facets configuration changes our prior partner had stalled on for two quarters.”
VP of Operations
Top-15 National Health Plan
“What sold us was the provider-side fluency. When we needed FHIR work for CMS-0057, they brought people who actually understood how the hospital end of the API behaves, not just our end.”
Director of Interoperability
Regional Blues Plan
“Their onshore-plus-nearshore bench is the best blend we have used. Sensitive eligibility work stays in the US, scale work runs out of Medellín, and the governance is one accountable PM, not three vendors.”
SVP, Member Services
Medicare Advantage Organization
Two paths forward.
Pick whichever fits the conversation. We'll bring the rest of the bench when you need it.
Expert perspective
The plans we work best with are the ones who realize the line between payer-ops and provider-ops is the place most value gets stuck. We staff that line on purpose — people who have lived on both sides of the claim.
TriZetto certification gets you in the door at a payer. Provider-side Epic fluency is what gets you the interop work. Having both on the same bench is rare, and it is the thing CIOs at large plans tell us they cannot find elsewhere.
