What We Do

Cognosante transforms health systems for today’s complex environment. Our services and solutions modernize Medicaid programs and health systems, lower administrative costs, improve quality, optimize shared services, streamline your ICD-10 transition, and curb fraud, waste, and abuse.


Simply stated, Cognosante helps you realize your health IT goals.

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Industry-Leading Services

  • Health Insurance Exchange

    With a broad national perspective and industry-leading business process, technical and systems design expertise, we help you plan, implement and support your HIX vision for your state.

  • Eligibility And Enrollment

    Whether replacing your current eligibility and enrollment system or improving your business process, we ensure your compliance with PPACA, Seven Conditions and Standards and other mandates.

  • Medicaid Modernization

    We help you design your roadmap to replace or enhance your Medicaid enterprise systems delivering modularity, improved business processes, greater efficiencies and lower costs.

  • Healthcare Communications

    From eligibility and enrollment to billing and claims, we help you meet all your customer contact management challenges whether for providers, health plans or consumers.

  • Fraud, Waste, And Abuse

    As you face growing enrollments and shrinking budgets, our solutions help you reduce and control costs and comply with PPACA.

  • Standards Compliance

    Leveraging the power of standards-based interoperability, we help you ensure compliance, improving your business process and managing your ICD-10 transition.

  • Health Information Exchange

    We deliver industry-leading health IT knowledge to plan, design and implement your HIE system for the future meeting the challenges of Meaningful Use or tomorrow’s Accountable Care Organizations.