Provider Search & Price Transparency Solution – S365

Guiding Members to Informed Healthcare Choices: Help members easily find providers near them that match their unique needs and compare costs with S365, an intuitive Provider Search and Price Transparency platform.

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Why Payers Choose S365 for price transparency in healthcare

S365 is an intuitive and personalized provider search and price transparency tool that meets Transparency in Coverage (TiC) regulations and connects into members’ already existing portals, becoming an integral part of the broader member journey. This seamless integration encourages members to make informed decisions by viewing price transparency information such as comparing healthcare facilities pricing and providers near them when and where they are searching for care.

Whether with a configurable user interface or through API delivery, Zelis’ flexible delivery options allow you to meet your members where they are. Join the more than 100 payers empowering over 70 million members to make informed healthcare decisions.

S365 is NCQA Certified for Physician and Hospital Directories.

Care navigation and Price transparency API offerings

Provider search API:

Members can search for providers using metrics that matter most to them, such as network affiliation, provider name, and specialty within a specific geographic area. They can further refine their search by applying filters like education details, languages spoken, awards, and more.

Click here to view API details.

TiC provider search API:

Members view costs including negotiated in-network rates, accumulations, prerequisites (prior authorization), benefit limits, out-of-network cost details, and cost-sharing information based on place of service.

Click here to view API details.

Procedure cost API:

Members see clear and upfront estimated procedure costs in relation to their current benefit accumulations when access to benefits is available directly within their platform to eliminate cost uncertainty and enhance member satisfaction.

Click here to view API details.

Ratings and reviews data:

Additional data input for Zelis APIs allows members to submit and access verified provider reviews and ratings to confidently choose the right care.

Click here to view API details.

Third-party augmented data:

Additional data input for Zelis APIs gives member access to additional data points such as quality score or provider demographics to evaluate providers and facilities effectively.

Features and Benefits: Care guidance and price transparency made simple

Members can easily find shoppable procedures and evaluate out-of-pocket costs based on their plan and deductible status.
Enhance your member-provider search with member reviews, pharmacy data, provider quality data, and more.
Gain peace of mind knowing our tools are compliant with TiC requirements, HiTrust CSF, and section 508. And Zelis has NCQA accreditation.
Integrate with SmartShopper® to direct members to lower-cost providers and share in the savings through incentives.
Help members find and schedule services with a healthcare provider through personalized phone, chat, or email support from the Care Concierge Team.
Ensure seamless and flexible integration through either APIs or a configurable user interface.

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