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Cognizant Lets AI Agents File Prior Authorizations Across 200M US Healthcare Members

Cognizant opened TriZetto Unify — the platform behind a large chunk of US healthcare administration — to AI agents as first-tier consumers. The first solution live is Electronic Prior Authorization, the bottleneck patients, doctors, and payers all hate.

## A headless API for agents, not a portal

Instead of giving agents a screen-scraping mission against a clinician-facing UI, the release adds FHIR-based APIs an agent calls directly: check whether authorization is needed, fetch required documentation, submit the request. It supports the Model Context Protocol so agent stacks can plug in natively. This sits on top of TriZetto’s existing clearinghouse — the payer-provider plumbing was already there, the agent-friendly pathway is what’s new. TriZetto Assistant and TriZetto Autonomous Workflow Agents had already rolled out; this turns the platform itself into something an agent can drive.

## Why it matters

TriZetto platforms touch more than 200 million US healthcare members and process $500B+ in annual healthcare spend across claims, eligibility, prior auth, and payment integrity. Prior auth, specifically, is the administrative tax that delays care and burns clinician time. Giving agents a sanctioned, FHIR-shaped door — instead of forcing them to imitate humans through portals — is the unglamorous but high-leverage way agents start removing real friction inside US healthcare.


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