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TriZetto Provider Solutions

TriZetto Provider Solutions Vendor Cyber Rating & Cyber Score

trizettoprovider.com

More than 425,000 providers trust healthcare clearinghouse TriZetto Provider Solutions'​ advanced medical claims processing solutions and proactive service team to simplify revenue cycle management. We help practices maximize revenue by securing accurate reimbursements, decreasing claims rejections and improving turnaround time for patient payments. We’re also helping healthcare providers prepare for and manage through industry change. Our solutions include electronic medical claims processing, real-time patient eligibility verification, point-and-click access to identify and recover missing revenue, automated secondary claims and electronic remittance advice and tools that ease patient payment collection. For more information on


TPS A.I CyberSecurity Scoring

TPS
Company Information
Website:http://www.trizettoprovider.com
Employees number:326
Number of followers:9,031
NAICS:5415
Industry Type:IT Services and IT Consulting
Homepage:trizettoprovider.com
TPS Risk Score (AI oriented)
Between 0 and 549
logo
TPSIT Services and IT Consulting
Updated:
25/05/2026
336/1000
Critical
C
AaaAaABaaBaBCaaCaC
Powered by our proprietary A.I cyber incident model
Insurance prefers TPRM score to calculate premium
TPS Global Score (TPRM)
xxxx
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TPSIT Services and IT Consulting
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Score locked
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Findings

TPS
TPSCritical
Current Score
336C (CRITICAL)
01000
7 incidents
-81 avg impact
Incident timeline with MITRE ATT&CK tactics, techniques, and mitigations.
JULY 2026
345Before Incident
JUNE 2026
342Before Incident
MAY 2026
399Before Incident
Breach
20 May 2026TPS
TriZetto Provider Solutions and The Oncology Institute: Oncology Institute Discloses Data Breach

Cybersecurity Incident at The Oncology Institute Exposing Patient Data

335After Incident
CRITICAL-64
ONCTRI1779733617
Cybersecurity Incident at The Oncology Institute Confirmed to Expose Patient Data The Oncology Institute (TOI), a leading oncology provider operating over 100 clinics across five states since 2007, has confirmed that a previously disclosed cybersecurity incident resulted in unauthorized access to patient information. The breach originated from a third-party software vendor, first reported to the SEC in November 2025, though the extent of the impact remained unclear at the time. On May 20, 2026, Kroll, the vendor’s third-party administrator, notified TOI that the vendor had detected unauthorized access to TOI’s systems, including patient data. TOI stated in an SEC filing that the incident likely affected multiple healthcare providers, with the vendor establishing a patient portal for inquiries and disclosures. While TOI has not named the vendor, the breach’s scope and timeline suggest TriZetto Provider Solutions a Cognizant-owned healthcare technology company as the likely source. TriZetto, which Kroll also represents, reported a separate breach earlier this year impacting 3.4 million individuals across its customer base. No ransomware group has claimed responsibility for the attack, and the identity of the threat actors remains unknown. TOI has not provided further details on the number of affected patients or the specific data compromised. The incident adds to a growing trend of healthcare breaches, with recent disclosures affecting hundreds of thousands of individuals at other providers.
INCIDENT DETAILS -
TYPE
Data Breach
IMPACT
Data Compromised: Patient informationBrand Reputation Impact: Likely negativeLegal Liabilities: PossibleIdentity Theft Risk: High
DATA BREACH
Type Of Data Compromised: Patient informationSensitivity Of Data: HighPersonally Identifiable Information: Likely
APRIL 2026
395Before Incident
MARCH 2026
384Before Incident
FEBRUARY 2026
441Before Incident
Breach
09 Feb 2026TPS
TriZetto Provider Solutions, OCHIN and Terry Reilly Health Services: Terry Reilly Health Services alerts patients to data security breach

TRHS Data Breach Exposes Patient Information via Third-Party Vendor

376After Incident
CRITICAL-65
TRIOCHTER1770659813
TRHS Data Breach Exposes Patient Information via Third-Party Vendor Terry Reilly Health Services (TRHS) has begun notifying patients of a data security incident that may have compromised personal and health-related information. The breach, discovered through TriZetto Provider Solutions (TPS) a third-party vendor for OCHIN, TRHS’s electronic medical record provider prompted immediate action from cybersecurity experts and law enforcement. TPS contained and neutralized the threat while implementing enhanced security measures to prevent future incidents. Exposed data may include names, addresses, dates of birth, Social Security numbers, health coverage member numbers, insurer details, provider names, and other demographic and health information. Financial data, such as payment cards and bank accounts, was not affected. Affected individuals will receive notification letters by mail within the next week, along with instructions for enrolling in complimentary identity and credit monitoring services provided by Kroll. Patients will need a unique code from the letter to access the service. TRHS has not disclosed the number of impacted individuals or the exact timeline of the breach.
INCIDENT DETAILS -
TYPE
Data Breach
IMPACT
Data Compromised: Personal and health-related informationSystems Affected: Electronic medical record system (via third-party vendor)Brand Reputation Impact: Potential reputational damage due to data exposureIdentity Theft Risk: High (exposure of SSNs and other PII)Payment Information Risk: None (financial data not affected)
DATA BREACH
NamesAddressesDates of birthSocial Security numbersHealth coverage member numbersInsurer detailsProvider namesDemographic informationHealth informationSensitivity Of Data: High (PII and PHI)Personally Identifiable Information: Yes
JANUARY 2026
436Before Incident
DECEMBER 2025
495Before Incident
Breach
15 Dec 2025TPS
TriZetto Provider Solutions and BACH: Bay Area Community Health Data Breach Investigation

BACH Data Breach Involving TriZetto Provider Solutions

430After Incident
CRITICAL-65
TRIBAC1768252046
BACH Reports Data Breach Affecting Sensitive Patient Information via Third-Party Vendor BACH, a healthcare provider, recently disclosed a data breach involving the potential exposure of sensitive personal and health information. The incident stemmed from a security compromise at TriZetto Provider Solutions (TPS), a third-party insurance clearinghouse integrated with BACH’s electronic medical record system (OCHIN). On October 2, 2025, TPS detected suspicious activity on a web portal used by its healthcare provider customers. Following an investigation, TPS confirmed to BACH that an unauthorized third party may have accessed data tied to BACH between November 2024 and October 2, 2025. BACH was formally notified of the breach on December 15, 2025. The compromised data varies by individual but may include: - Full names - Social Security numbers - Dates of birth - Contact details - Health and insurance-related information In response, BACH published a breach notice on its website, detailing the incident and offering affected individuals complimentary credit monitoring services. The notice includes a breakdown of the exposed data types for impacted parties. The breach highlights the risks of third-party vendor vulnerabilities in healthcare data security.
INCIDENT DETAILS -
TYPE
Data Breach
IMPACT
Data Compromised: Sensitive personal identifiable information and protected health informationSystems Affected: TriZetto Provider Solutions (TPS) web portal, OCHIN electronic medical record systemBrand Reputation Impact: Potential reputational damage due to data breachIdentity Theft Risk: High (due to exposure of SSNs and personal data)
DATA BREACH
Personal Identifiable Information (PII)Protected Health Information (PHI)Sensitivity Of Data: High (SSNs, health/insurance information)NameSocial Security numberDate of birthContact information
NOVEMBER 2025
493Before Incident
OCTOBER 2025
613Before Incident
Breach
02 Oct 2025TPS
TriZetto Provider Solutions Notifies Healthcare Provider Clients About Data Breach

TriZetto Provider Solutions Data Breach

483After Incident
CRITICAL-130
TRI1765483872
TriZetto Provider Solutions Discloses Year-Long Data Breach Affecting Healthcare Clients TriZetto Provider Solutions, a Cognizant-owned revenue management services provider for healthcare organizations, has begun notifying healthcare clients about a cybersecurity incident involving unauthorized access to a web portal used by providers. The breach was first detected on October 2, 2025, when suspicious activity prompted immediate containment efforts. Cybersecurity firm Mandiant was engaged to investigate, confirming the threat actor had been removed from the system, with no further unauthorized access detected since the discovery. Forensic analysis revealed the breach had been ongoing since November 2024, nearly a year before detection. The attacker accessed historical eligibility transaction reports containing protected health information (PHI) of patients from affected healthcare clients. Exposed data includes names, addresses, dates of birth, Social Security numbers, health insurance member numbers (including Medicare beneficiary IDs), insurer details, and other demographic and health-related information—though no financial data was compromised. TriZetto completed its review of the compromised data by late November 2025, identifying the affected individuals and notifying impacted healthcare clients. Under the HIPAA Breach Notification Rule, affected providers must notify individuals within 60 days of being informed, meaning patient notifications are expected by early 2026. TriZetto has offered to manage breach notifications, regulatory filings (including to the HHS’ Office for Civil Rights), and media disclosures on behalf of its clients, as well as cover costs for credit monitoring, fraud consultation, and identity theft restoration services. The full scope of the breach remains unclear, but given the 11-month window of unauthorized access, the incident could affect a significant number of patients. Updates are expected as further details emerge.
INCIDENT DETAILS -
TYPE
Data Breach
IMPACT
Data Compromised: Protected Health Information (PHI)Systems Affected: Web portal used by healthcare provider customersOperational Impact: Mitigation and investigation efforts requiredBrand Reputation Impact: Potential reputational damage to TriZetto and affected healthcare providersLegal Liabilities: Potential HIPAA violations and regulatory finesIdentity Theft Risk: High (due to exposure of SSNs, Medicare numbers, and other PII)Payment Information Risk: None (no financial information exposed)
DATA BREACH
NamesAddressesDates of BirthSocial Security NumbersHealth Insurance Member NumbersMedicare Beneficiary NumbersHealth Insurer NamesDemographic Health InformationHealth Insurance InformationSensitivity Of Data: High (Protected Health Information and Personally Identifiable Information)File Types Exposed: Eligibility transaction reportsPersonally Identifiable Information: Yes
Breach
02 Oct 2025TPS
OCHIN, TriZetto Provider Solutions and SFCHC: San Francisco Community Health Center Data Breach Investigation

SFCHC Data Breach Involving TriZetto Provider Solutions

483After Incident
CRITICAL-130
OCHTRISAN1768259195
SFCHC Reports Data Breach Affecting Patient Information via Third-Party Vendor San Francisco Community Health Center (SFCHC) disclosed a data breach involving sensitive patient information, stemming from a security incident at one of its business associates. On December 12, 2025, SFCHC was alerted by OCHIN a vendor managing its electronic health record system that TriZetto Provider Solutions (TriZetto), a subcontractor handling healthcare eligibility and claims, had experienced unauthorized access to its systems. TriZetto’s investigation confirmed that an unauthorized third party may have accessed patient data linked to SFCHC between November 2024 and October 2, 2025. The exposed information varies by individual but includes names, Social Security numbers, addresses, dates of birth, and health insurance details such as member numbers, insurer names, and provider information. SFCHC has since reviewed the impacted data to identify affected individuals and began mailing breach notification letters. In compliance with California regulations, the notices outline the specific types of compromised information and offer complimentary credit monitoring services to those affected. The breach report filed with the California Attorney General’s office provides further details.
INCIDENT DETAILS -
TYPE
Data Breach
IMPACT
Data Compromised: Sensitive personal identifiable information and protected health informationSystems Affected: TriZetto Provider Solutions systems (healthcare eligibility and claims clearinghouse)Identity Theft Risk: High
DATA BREACH
Personal Identifiable InformationProtected Health InformationSensitivity Of Data: HighNameSocial Security numberAddressDate of birthHealth insurance information (member number, health insurer name, provider name, primary insured and dependents)
SEPTEMBER 2025
613Before Incident
AUGUST 2025
610Before Incident
NOVEMBER 2024
676Before Incident
Breach
01 Nov 2024TPS
TriZetto Provider Solutions: Health insurance tech provider TriZetto says more than 3 million impacted by 2024 breach

Massive U.S. Healthcare Data Breach Exposes Millions in Sensitive Information

659After Incident
CRITICAL-17
TRI1772047212
Massive U.S. Healthcare Data Breach Exposes Millions in Sensitive Information A 2024 data breach at TriZetto Provider Solutions, a healthcare technology company handling over four billion insurance transactions annually, has exposed the sensitive information of 3.4 million people across the U.S. The breach, which began in November 2024, was discovered in October after a hacker accessed historical eligibility reports through a web portal. Impact and Scope Initially, Oregon county governments reported that 700,000 residents had data leaked, including Social Security numbers, addresses, and health insurance details. This week, TriZetto updated the figure to 3,433,965 affected individuals, filing breach notifications in New Hampshire, California, South Carolina, Massachusetts, Vermont, and Texas. Only Texas (171,158 victims) and South Carolina (3,562 victims) reported specific numbers. Private medical providers in Oklahoma and other states also confirmed exposure. Investigation and Response TriZetto hired Mandiant (Google’s incident response firm) to investigate and contacted law enforcement after discovering the breach. The company began notifying customers in December, with some clients requesting TriZetto file breach reports on their behalf with the U.S. Department of Health and Human Services’ Office for Civil Rights and state agencies. Affected individuals are being offered one year of credit monitoring services. Company Background TriZetto, a subsidiary of IT giant Cognizant, provides insurance-eligibility verification software to public and private healthcare providers. Neither company has publicly commented on the breach or confirmed the total number of victims. This incident follows a 2023 lawsuit against Cognizant by Clorox, alleging its help desk was responsible for a cyberattack costing hundreds of millions.
INCIDENT DETAILS -
TYPE
Data Breach
IMPACT
Data Compromised: Social Security numbers, addresses, health insurance detailsSystems Affected: Insurance eligibility verification softwareIdentity Theft Risk: High
DATA BREACH
Type Of Data Compromised: Personally Identifiable Information (PII), Health Insurance DetailsNumber Of Records Exposed: 3,433,965Sensitivity Of Data: High (Social Security numbers, addresses)Personally Identifiable Information: Social Security numbers, addresses
JANUARY 2024
753Before Incident
Breach
01 Jan 2024TPS
TriZetto Provider Solutions, Cognizant and Wynn Resorts: Wynn Resorts confirms breach, believes data deletion claims

TriZetto Provider Solutions Breach Exposes Data of Over 3.4 Million Individuals

659After Incident
CRITICAL-94
TRIWYNCOG1772159592
TriZetto Provider Solutions Breach Exposes Data of Over 3.4 Million Individuals In a major cybersecurity incident, TriZetto Provider Solutions, a health insurance technology subsidiary of Cognizant, reported that the sensitive data of 3.4 million individuals was stolen in a 2024 breach. The attack, attributed to the ShinyHunters hacking group, compromised employee data and disrupted IT systems, including billing and customer delivery operations. While Wynn Resorts another victim of ShinyHunters acknowledged a breach and offered credit monitoring services to affected employees, the group later claimed to have deleted the stolen data, a move experts suggest may indicate a ransom payment. However, cybersecurity analysts, including Dray Agha of Huntress, caution that threat actors often retain or sell stolen data despite such assurances, as there is no reliable way to verify deletion claims. The breach highlights the growing risk of extortion-based cyberattacks, where hackers demand payment in exchange for purported data removal though victims remain vulnerable to future misuse. The incident underscores the challenges organizations face in confirming the true scope of data compromise and the effectiveness of attacker promises.
INCIDENT DETAILS -
TYPE
Data Breach
MOTIVATION
Extortion
IMPACT
Data Compromised: Sensitive data of 3.4 million individualsBillingCustomer delivery operationsOperational Impact: Disrupted IT systemsIdentity Theft Risk: High
DATA BREACH
Type Of Data Compromised: Sensitive data, employee dataNumber Of Records Exposed: 3.4 millionSensitivity Of Data: High

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TriZetto Provider Solutions Cyber Scoring History | Rankiteo