TruCare vs TriZetto: Revenue Operating System vs Clearinghouse Platform

TriZetto Provider Solutions, owned by Cognizant, offers a clearinghouse, an RCM platform, billing and coding services, and credentialing. TruCare offers a revenue operating system with intake, billing, credentialing, and analytics. Both can do the work for you, so the difference is focus and fit. TriZetto says it has more than 40 years of experience and supports 875K+ providers.

How they differ

• Clearinghouse depth: TriZetto reports 11K+ payer connections and 650+ EHR and practice management integrations.
• Intake: We found no patient intake product at TriZetto. TruIntake covers scheduling, intake, and eligibility.
• Credentialing: Both offer it. TriZetto runs credentialing through its Pulse portal, and TruCare runs it through TruCred.
• Pricing: TriZetto does not publish pricing. TruCare publishes rates from 2.49% of collections.

Where they overlap

Both offer billing services, credentialing, and claim tools, and both connect to many EHRs. Both can handle the work for you instead of only selling software.

Choose TruCare if

You want intake, billing, and credentialing in one place, with one team that knows your practice and your payer mix.

Choose TriZetto if

Your EHR already has a built-in TriZetto connection and you mainly need clearinghouse tools, with the option to add billing services later.

Questions to ask on your demo

• Integration: Does our EHR already connect to your clearinghouse, and what changes if it doesn't?
• Front end: Who handles scheduling, intake, and eligibility before the visit?
• Pricing: How are billing and credentialing services priced at our volume?

The bottom line

TriZetto is strongest as a clearinghouse with services added on. TruCare is built around the services, with intake and analytics included. If you want one partner from scheduling to cash posting, TruCare covers more of that path.