Ready to
modernize?

Deliver better experiences and real results with flexible solutions that bridge the gaps in the healthcare financial system.

Platform Capabilities

Modern financial experiences are built with Zelis.

With five core capabilities that span the entire financial journey, from building and managing high-performing networks to empowering members to shop for and access care, ensuring claims are accurate to seamless delivery of payments and associated communications, Zelis is helping reduce costs and administrative burden, while improving the experience of payers, providers, and members.

Build Better Networks

Meet the evolving needs of your members, providers, and payers by designing, assessing, and maintaining optimal care networks.

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Guide Care Access

Empower and incentivize members to effectively utilize their benefits via transparency tools, provider search, personalized support, and engagement platforms.

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Optimize Claim Pricing

Impact the rising cost of care with purposeful innovation, technology, and human expertise to optimize claim pricing and payment accuracy in one platform.

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Send Seamless Payments

Securely deliver critical cash flow and payment data to providers and enable easy collection of premium payments from members or groups.

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Orchestrate Communications

Communicate clearly with members looking to enroll in a plan, obtain and access their ID cards, and easily understand how their benefits were applied and paid.

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Why Zelis?

Visibility that unlocks value.

We’re working on behalf of more than 770 insurers nationwide to optimize the cost of care through intelligent claims management, to power faster and more seamless payments, and to bring more clarity to the financial journey.​

Because we believe modern care is more than clinical.

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payer clients

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providers paid

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engaged members

Our relationship with Zelis has given us the flexibility to create customized solutions and bring value to our clients. The solutions and expertise that Zelis brings to the table, as well as its team’s ability to develop ideas to improve our processes, have created a mutually beneficial relationship for both our companies.
As we’ve worked with Zelis, we’ve found all their capabilities and solutions to be very easy to plug-in and integrate with our offerings. That flexibility is very valuable to us.
Zelis has gone above and beyond in helping us to get set up with our EDI connection and ensuring that we’re running smoothly. The people we work with on a daily basis are amazing and we’ve been very satisfied with turnaround times when we need support. The electronic connection has been a huge improvement for our business.
From the start, Network360 has been a wildly successful program that has impacted our ability to meet goals and grow our business.
Zelis listens to our business needs and growth strategy, and anticipate how ACS can continue to deliver results for our clients. We have a comprehensive partnership across many different solutions, and we are continuing to expand.
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Let’s talk about your business.

There’s no shortage of ways we can help. Get a conversation going with one of our Solution Advisors and build a thoughtful approach aligned to your business goals.

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We Are Zelis

Modernizing the healthcare financial experience for all.

Technology built by healthcare experts.

Our technology is purpose-built for healthcare, using deep industry expertise to help you better operate and stay current with changing regulations in the complex and evolving healthcare financial landscape.

Partnership that evolves with you.

We’re known for our passion about your success. We work closely with you to build the right solution, helping you scale and grow.

Visibility that unlocks value.

We have data, insights, and solutions that span the entire healthcare financial system, enabling us to identify, optimize, and solve problems holistically, driving measurable results for our clients.