TriZetto Provider Solutions Company CyberSecurity Posture

trizettoprovider.com
ISOSOC2 Type 1SOC2 Type 2PCI DSSHIPAAGDPR

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 TriZetto Provider Solutions, visit www.trizettoprovider.com.

TriZetto Provider Solutions A.I CyberSecurity Scoring

TPS

Company Details

Linkedin ID:

trizettoprovider

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

IP Addresses:

Scan still pending

Company ID:

TRI_2505328

Scan Status:

In-progress

AI scoreTPS Risk Score (AI oriented)

Between 550 and 599

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TPS IT Services and IT Consulting
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globalscoreTPS Global Score (TPRM)

XXXX

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TPS IT Services and IT Consulting
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TriZetto Provider Solutions

Very Poor
Current Score
571
Ca (Very Poor)
01000
3 incidents
-96.0 avg impact

Incident timeline with MITRE ATT&CK tactics, techniques, and mitigations.

JANUARY 2026
570
DECEMBER 2025
632
Breach
15 Dec 2025 • TriZetto Provider Solutions and BACH: Bay Area Community Health Data Breach Investigation
BACH Data Breach Involving TriZetto Provider Solutions

**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.

567
critical -65
TRIBAC1768252046
Incident Details -
Type
Data Breach
Attack Vector
Third-party web portal compromise
Impact
Data Compromised: Sensitive personal identifiable information and protected health information Systems Affected: TriZetto Provider Solutions (TPS) web portal, OCHIN electronic medical record system Brand Reputation Impact: Potential reputational damage due to data breach Identity Theft Risk: High (due to exposure of SSNs and personal data)
Response
Third Party Assistance: TPS launched an investigation Remediation Measures: Review of impacted data, identification of affected individuals Recovery Measures: Provision of complimentary credit monitoring services Communication Strategy: Breach notice posted on BACH's website, notification letters to affected individuals
Data Breach
Personal Identifiable Information (PII) Protected Health Information (PHI) Sensitivity Of Data: High (SSNs, health/insurance information) Name Social Security number Date of birth Contact information
Regulatory Compliance
HIPAA (potential)
Investigation Status
Ongoing (as of disclosure)
Customer Advisories
Affected individuals notified with details of exposed data and offered credit monitoring services
Initial Access Broker
Entry Point: TPS web portal
Post Incident Analysis
Root Causes: Third-party vendor compromise (TPS web portal vulnerability)
References
Blog URL Source URL
NOVEMBER 2025
631
OCTOBER 2025
753
Breach
02 Oct 2025 • TriZetto Provider Solutions Notifies Healthcare Provider Clients About Data Breach
TriZetto Provider Solutions Data Breach

**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.

626
critical -127
TRI1765483872
Incident Details -
Type
Data Breach
Attack Vector
Web Portal Compromise
Impact
Data Compromised: Protected Health Information (PHI) Systems Affected: Web portal used by healthcare provider customers Operational Impact: Mitigation and investigation efforts required Brand Reputation Impact: Potential reputational damage to TriZetto and affected healthcare providers Legal Liabilities: Potential HIPAA violations and regulatory fines Identity Theft Risk: High (due to exposure of SSNs, Medicare numbers, and other PII) Payment Information Risk: None (no financial information exposed)
Response
Incident Response Plan Activated: Yes Third Party Assistance: Mandiant (cybersecurity firm) Containment Measures: Immediate action to secure the web portal Remediation Measures: Eradication of threat actor, forensic investigation, and system review Recovery Measures: Review of compromised data and notification of affected clients Communication Strategy: Notifications to affected healthcare clients, offer to handle breach notifications on their behalf
Data Breach
Names Addresses Dates of Birth Social Security Numbers Health Insurance Member Numbers Medicare Beneficiary Numbers Health Insurer Names Demographic Health Information Health Insurance Information Sensitivity Of Data: High (Protected Health Information and Personally Identifiable Information) File Types Exposed: Eligibility transaction reports Personally Identifiable Information: Yes
Regulatory Compliance
HIPAA Breach Notification Rule Regulatory Notifications: HHS’ Office for Civil Rights, state regulators, and media outlets (offered by TriZetto)
Investigation Status
Completed (forensic investigation concluded)
Customer Advisories
Offer to handle breach notifications for affected individuals, including credit monitoring and identity theft restoration services
Stakeholder Advisories
Notifications to affected healthcare clients with lists of affected individuals and compromised data
Initial Access Broker
Entry Point: Web portal Reconnaissance Period: November 2024 to October 2025 High Value Targets: Historical eligibility transaction reports containing PHI
Post Incident Analysis
Root Causes: Unauthorized access to web portal and prolonged undetected access to historical reports Corrective Actions: Enhanced security measures (details not specified)
References
Blog URL Source URL
Breach
02 Oct 2025 • OCHIN, TriZetto Provider Solutions and SFCHC: San Francisco Community Health Center Data Breach Investigation
SFCHC Data Breach Involving TriZetto Provider Solutions

**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.

626
critical -127
OCHTRISAN1768259195
Incident Details -
Type
Data Breach
Attack Vector
Third-Party Compromise
Impact
Data Compromised: Sensitive personal identifiable information and protected health information Systems Affected: TriZetto Provider Solutions systems (healthcare eligibility and claims clearinghouse) Identity Theft Risk: High
Response
Third Party Assistance: TriZetto launched an investigation Remediation Measures: Review of impacted data, identification of affected individuals, and mailing of data breach notification letters Communication Strategy: Data breach notification letters mailed to impacted individuals; breach notice filed with the Attorney General of California
Data Breach
Personal Identifiable Information Protected Health Information Sensitivity Of Data: High Name Social Security number Address Date of birth Health insurance information (member number, health insurer name, provider name, primary insured and dependents)
Regulatory Compliance
HIPAA Regulatory Notifications: Breach notice filed with the Attorney General of California
Recommendations
Provision of complimentary credit monitoring services to affected individuals
Investigation Status
Ongoing
Customer Advisories
Data breach notification letters mailed to impacted individuals with details of the incident and complimentary credit monitoring services
References
Blog URL Source URL
SEPTEMBER 2025
753
AUGUST 2025
753
JULY 2025
753
JUNE 2025
753
MAY 2025
753
APRIL 2025
753
MARCH 2025
753
FEBRUARY 2025
753

Frequently Asked Questions

According to Rankiteo, the current A.I.-based Cyber Score for TriZetto Provider Solutions is 571, which corresponds to a Very Poor rating.

According to Rankiteo, the A.I. Rankiteo Cyber Score for December 2025 was 632.

According to Rankiteo, the A.I. Rankiteo Cyber Score for November 2025 was 631.

According to Rankiteo, the A.I. Rankiteo Cyber Score for October 2025 was 753.

According to Rankiteo, the A.I. Rankiteo Cyber Score for September 2025 was 753.

According to Rankiteo, the A.I. Rankiteo Cyber Score for August 2025 was 753.

According to Rankiteo, the A.I. Rankiteo Cyber Score for July 2025 was 753.

According to Rankiteo, the A.I. Rankiteo Cyber Score for June 2025 was 753.

According to Rankiteo, the A.I. Rankiteo Cyber Score for May 2025 was 753.

According to Rankiteo, the A.I. Rankiteo Cyber Score for April 2025 was 753.

According to Rankiteo, the A.I. Rankiteo Cyber Score for March 2025 was 753.

According to Rankiteo, the A.I. Rankiteo Cyber Score for February 2025 was 753.

Over the past 12 months, the average per-incident point impact on TriZetto Provider Solutions’s A.I Rankiteo Cyber Score has been -96.0 points.

You can access TriZetto Provider Solutions’s cyber incident details on Rankiteo by visiting the following link: https://www.rankiteo.com/company/trizettoprovider.

You can find the summary of the A.I Rankiteo Risk Scoring methodology on Rankiteo by visiting the following link: Rankiteo Algorithm.

You can view TriZetto Provider Solutions’s profile page on Rankiteo by visiting the following link: https://www.rankiteo.com/company/trizettoprovider.

With scores of 18.5/20 from OpenAI ChatGPT, 20/20 from Mistral AI, and 17/20 from Claude AI, the A.I. Rankiteo Risk Scoring methodology is validated as a market leader.