Zelis for BlueCross BlueShield

Scale and grow with a purpose-built platform harmonizes and streamlines workflows across the healthcare journey.

Why Zelis?

Powering your digital transformation.

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 BCBS® Association and ITS requirements, and configurable to adapt to future Blues mandates and requirements.

Key Points

  • Relationships with 25 Blues Plans
  • 13 years average client tenure
  • 77 payer NPS score

Use Cases

Streamline, balance, and clarify the healthcare financial experience.

Empower your members to gain access to transparency and incentivized shopping.

Access competitive intelligence to build narrow networks and make informed decisions.

Identify new savings through prospective payment integrity solutions with out of network negotiations and repricing capabilities.

Case Study

BCBS plan saves $1.2M annually.

A BCBS plan reduced operational fulfilment costs and increased electronic communications delivery and provider satisfaction with Zelis Payments Optimization.

By the Numbers

Visibility that unlocks value

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claims priced annually

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payments processed annually

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total cost savings

Zelis is built for all payers.

Partnering with over 700 health insurance companies.

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.
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Property and Casualty Plans

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.

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Third-Party Administrators

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.  

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