TriZetto Provider Solutions Data Breach
November 12, 2026 (Updated) – Federman & Sherwood is investigating a data breach involving TriZetto Provider Solutions, following a notification filed with the Maine Attorney General.
According to the notice, on October 2, 2025, TriZetto Provider Solutions became aware of suspicious activity within a web portal used by certain healthcare provider customers to access TriZetto’s systems. An investigation was launched and cybersecurity experts were engaged to determine the nature and scope of the incident. The investigation determined that beginning in November 2024, an unauthorized actor accessed certain records related to insurance eligibility verification transactions used by healthcare providers to confirm patient insurance coverage.
The information potentially involved includes individuals’ names, addresses, dates of birth, Social Security numbers, health insurance member numbers, provider names, health insurer names, primary insured information, and other demographic and health insurance information.
TriZetto reported that it implemented additional security measures, engaged cybersecurity specialists, and notified law enforcement as part of its response to the incident. The company is also offering affected individuals credit monitoring and identity protection services through Kroll.
Federman & Sherwood is investigating whether appropriate security measures were in place to protect sensitive personal and health information and whether affected individuals may have legal claims related to this cybersecurity incident.
The compromised information may have included:
- Full name
- Social Security number
- Date of birth
- Contact information (phone number, address, email address)
- Medical information
- Health insurance information
- Other sensitive information
What is TriZetto Provider Solutions?
TriZetto Provider Solutions operates as a healthcare clearinghouse and revenue cycle management company that helps physician practices, clinics, and health systems process medical claims and streamline financial operations.
Individuals who received a notification letter or believe they may have been affected are encouraged to contact Federman & Sherwood.
Federman & Sherwood
1-800-237-1277
info@federmanlaw.com