Built for:

Third-Party Administrators

Focus on comprehensive solutions to uncover real savings.

Streamline and optimize every step of the payment process.

Healthcare costs are rising – and we believe the key to staying competitive in lies in taking control of the entire process. At Zelis, we’re building a holistic solution that drives savings and payment optimization across the claims lifecycle.

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. The result? Deep insights that lead drive clarity, savings, and efficiency at every step. We’re looking at the entire claims process, starting at pre-payment, to help you spot errors early and uncover savings opportunities less integrated solutions might miss. We’re also helping you proactively build and optimize your network, ensuring you’re delivering the coverage your members need.

Analyze and optimize network performance

Access targeted supplemental networks to cover gaps in care

Model and build primary, secondary, wrap and specialty networks

Gain efficiency with a single point of contact for pre-payment optimization

Take control of the payments process from beginning to end

Engage members with clear enrollment and claims communications

Solutions for Third-Party Administrators

Here’s how we work with you to deliver savings:


Learn more about our payment integrity and network solutions.

Price

Learn more about our payments optimization platform.

Pay

Learn more about claims communications and our network solutions.

Explain

Learn more about our network solutions.

Enhance

Case Study

Third-Party Administrator ACS Benefit Services realizes $13M in Savings

By choosing to add Zelis as their external partner for healthcare bill reviews, edits, and audits, ACS has converted more than 300,000 paper payments to electronic modalities and realized $13M in gross savings since 2018.

Zelis by the Numbers

Join us as we chart new ways to pay for care, with care.

99 %
Client Retention Rate
1.5 M
Network Providers
$ 100 B
in payments delivered annually

Take the Next Step

Learn how we can help you take a more modern approach to payments.

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