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Cognizant’s TriZetto® ClaimSphere® Receives 12th Consecutive HEDIS® Certification

Cognizant’s Healthcare Quality Engine, TriZetto® ClaimSphere® QaaS® has received its 12th consecutive Healthcare Effectiveness Data and Information Set (HEDIS®) Certified Measure status from the National Committee for Quality Assurance (NCQA). NCQA certification validates that ClaimSphere® QaaS® quality measures have passed the rigorous testing to support health plans for the HEDIS Measurement Year 2022 reporting season.

Cognizant is an NCQA certified vendor for Integrated Healthcare Association’s Align. Measure. Perform (AMP) program used by organizations across California to drive meaningful changes that reduce costs and support better healthcare quality and outcomes.

“Receiving the 12th year certification in a row for Cognizant’s TriZetto® ClaimSphere® is a testament to our ongoing commitment to our customers that helping them meet compliance regulations, achieve patient safety standards and be future-ready remains a top priority,” said Surya Gummadi, Cognizant’s SVP of Global Health Sciences and SVP, Americas. “Cognizant continues to increase its digital capabilities to support our customers’ success in value-based care, including the advancement and offering of our HL7 FHIR® enabled Digital Quality Measures (dQM), Electronic Clinical Data Systems (ECDS), Intelligent Process Automation (IPA) along with Business Intelligence (BI) and Machine Learning (ML) capabilities.”

TriZetto® ClaimSphere® Consulting Services offers implementation and HEDIS Service bureau support with consultants specialized in HEDIS, data analytics and operations that enable clients to have a seamless HEDIS submission and execute Quality improvement initiatives. Consulting Services offers accelerators such as Facets and QNXT pre-built interfaces for faster time to market and rate reconciliation services for a seamless vendor transition. 

About TriZetto Government Programs & Quality Solution

ClaimSphere is a part of TriZetto Government Programs & Quality Solution, joining hands with the Elements suite of products driving synergy across four core competencies of Enrollment and Reconciliation, Government and CMS data submissions, Quality and Risk Adjustment analytics.  

About NCQA

NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers.

NCQA Measure CertificationSM is a service mark of the National Committee for Quality Assurance.

HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).

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