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TriZetto Data Breach Lawsuit Investigation
Shamis & Gentile P.A., one of the nation's premier class action law firms specializing in data breach cases, is investigating the TriZetto Provider Solutions data breach.
If you were affected by the data breach, your sensitive personally identifiable information may have been exposed, and you may be eligible for compensation.
About TriZetto Provider Solutions
TriZetto Provider Solutions is a healthcare technology company that focuses on revenue cycle management software and services. The company works with hospitals, health systems, physician practices and billing companies to help manage claims, billing and other administrative healthcare tasks.
TriZetto Provider Solutions operates as a clearinghouse and RCM partner, integrating with hundreds of electronic medical record and practice management systems. They process large volumes of electronic claims and related transactions for healthcare providers, supporting roughly 200 million patient records. TriZetto Provider Solutions is part of Cognizant’s broader healthcare administration portfolio and is based in Earth City, Missouri.
What Happened?
On October 2, 2025, TriZetto Provider Solutions (TPS) identified suspicious activity within a web portal utilized by certain healthcare provider customers for system access. Their investigation concluded that an unauthorized party obtained access to certain historical eligibility transaction reports stored within their system, with the unauthorized access commencing in November 2024.
The breach affected individuals whose healthcare providers or billing companies used TriZetto’s services.
Information Exposed
- Names of patients and primary insureds
- Address
- Date of birth
- Social Security number
- Health insurance member number (in some cases, Medicare beneficiary number)
- Health insurer name
- Information about the primary insured or beneficiary
- Other demographic health and health insurance information
The exact number of individuals impacted is not yet known. However, due to the type and breadth of this breach, it may have impacted millions of individuals across the U.S.
Your Rights and Next Steps
If you received a data breach notification from TriZetto Provider Solutions, or your provider, you have important rights and options. You may be entitled to seek compensation for any harm or inconvenience caused by this cybersecurity incident.
- Identity theft protection services: Sign up for the free Kroll identity theft protection and credit monitoring services offered by the company.
- Monitor your accounts carefully: Check your financial statements regularly for suspicious activity or unauthorized transactions. If you notice anything unusual, contact your financial institution immediately.
- Fraud alert and credit reports: A fraud alert informs creditors to take extra steps to verify your identity before opening new accounts in your name. Consumers are also entitled to one free credit report annually from each credit bureau. You can request a fraud alert or a credit report by contacting any one of the three major credit bureaus.
- Seek legal help: Lawyers are ready to help you understand your rights and pursue compensation.
You May Be Entitled to Compensation
If you were impacted by the TriZetto Provider Solutions data breach, you may be eligible for compensation, which could include reimbursement for out-of-pocket expenses, time spent addressing the breach, or payment for emotional distress.
Lawyers are ready to help you take the next steps. To find out if you qualify and to join a lawsuit, complete the form below.
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