TriZetto Provider Solutions Security Incident
February 9, 2026WHAT HAPPENED
On October 2, 2025, TriZetto Provider Solutions (“TPS”), a downstream vendor that provides billing-related services to healthcare providers, became aware of suspicious activity within a web portal that some of TPS’s healthcare provider customers use to access its systems. Upon discovering the incident, TPS quickly launched an investigation and took steps to mitigate the issue. TPS determined that, beginning in November 2024, an unauthorized actor began accessing some records related to insurance eligibility verification transactions that healthcare providers process to assess insurance coverage for treatment services they provide to patients.
WHAT INFORMATION WAS INVOLVED
The affected data varied by individual and may have included the following information for patients and primary insureds: name, address, date of birth, Social Security number, health insurance member number (which, for some individuals, may be a Medicare beneficiary identifier), health insurer name, primary insured or dependent information, and other demographic, health, and health insurance information. The incident did not affect any payment card, bank account, or other financial information.
MITIGATION PLAN
After becoming aware of the incident, TPS immediately took additional protective measures to safeguard its systems and worked with leading cybersecurity experts to conduct a comprehensive investigation of the incident. TPS notified law enforcement and implemented additional security protocols designed to enhance the security of its services. TPS will be providing all required Federal and State regulatory notifications, individual notification, media notice, and credit monitoring support.
WHAT PATIENTS CAN DO
Impacted patients are being offered complimentary services to assist with credit monitoring and fraud detection. Additional information may be found at TPS Kroll website. Call center representatives are available Monday through Friday between 8:00 a.m. to 5:30 p.m. Central Time and can be reached at (844) 572-2725.
