Zelis for Health Plans & National 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.

Why Zelis?

Leading the way forward in modernizing your business.

Zelis has been with you at the forefront of modernizing the business of healthcare for 20 years, helping you deliver on your critical mission of delivering quality care at a reasonable cost. We empower your digital transformation journeys, and through you, deliver a more seamless financial experience for your providers and members.

Key points

  • Relationships with over 770 payers
  • 13 years average client tenure
  • 66 payer NPS score

Use Cases for Health Plans

Streamline, balance, and clarify the financial experience.

Ensure the accuracy of every payment.

Balance risk and financial performance.

Analyze and optimize network performance.

Develop primary, secondary, wrap and specialty networks.

Comply with new and changing regulations.

Clarify member enrollment and claims communications.

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.

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claims priced annually


in provider payments


claims cost reduction

Zelis is built for all payers.

Partnering with over 770 health insurance companies.

Property and Casualty Plans

Zelis is here to bring you a comprehensive platform or 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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Brokers & Consultants

Consult with your clients on a whole new level, bringing competitive and performance insights to the table, uncovering gaps in their networks and comparing their network performance to key competitors.

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