Health Plans & Carriers
Scale and grow with an independent partner that deeply understands your needs and can address your entire financial system or prioritize the most abrasive aspects of your business.
Scale and grow with a purpose-built platform harmonizes and streamlines workflows across the healthcare journey.
Solutions
By the Numbers
Blues plans
providers paid
engaged members
annual payment integrity savings
annual payments
annual communications processed
competitive networks analyzed
providers and services searched
incentivized shopping
Case Study
A Blues plan reduced operational fulfilment costs and increased electronic communications delivery and provider satisfaction with Zelis.
We help you reduce friction for your providers and members while controlling the rising cost of care. Zelis partners with more than 25 Blues plans, improving the healthcare journey for more than 95 million members. Our solutions are purpose-built to uphold all Blues plans and ITS requirements, and configurable to adapt to future Blues mandates and requirements.
Zelis is built for all payers.
Scale and grow with an independent partner that deeply understands your needs and can address your entire financial system or prioritize the most abrasive aspects of your business.
Zelis is here to bring you a tailored single-point solution that includes electronic payments, balanced network design, and leading-edge analytics to auto and worker’s compensation plans.
No one else in the industry gives TPAs more tools to integrate network analytics, network access and management, payment integrity, electronic payments, and member communications.