Optimize your networks with Zelis.

Build, access, and manage competitive, cost-effective, and compliant networks with one unified platform.

Why Zelis?

Tailored network design based on your goals.

Deliver high-quality care at a reasonable cost, by building and accessing networks that fit your needs and goals while also empowering your members across the continuum of care.

Key Points

  • Meet varying member needs and reduce abrasion.
  • Optimize costs and efficiency with vendor consolidation.
  • Enhance network management and expand provider access.
How it Works for Health Plans

A single point of access across millions of providers.

Zelis offers access to more than 75 established networks, so you can customize your networks to meet varying member needs and reduce abrasion. Cost effectively enhance network management and expand provider access with ease.

Network Solutions Suite

Customizable solutions to take your networks beyond limitations.

Access the right provider coverage with customizable network solutions that drive in-network savings and mitigate out-of-network costs.

  • Access credentialed, logoed primary networks with visibility into performance against claim spend.
  • Expand your coverage for out of service areas with wrap and secondary networks that support your current setups.
  • Search for the highest discounts and minimize member noise with supplemental networks that use the Zelis ClaimPass solution.

Explore solution

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average client tenure

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 truly puts their money where their mouth is. They understand the value of partnership, and that everything in this business is driven by relationships.
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Let’s talk about modernizing 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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Top Resources on Network Solutions

Blog

2023 State of the Market: A look into the provider network landscape

Dive into the insights shared from our 2023 State of the Market report to stay up-to-date with the latest healthcare trends and data.

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Playbooks

3 Steps to Building a Provider Network

This ebook identifies a 3-step process for successful network build, and offers an overview of Zelis Network Builder & Optimizer capabilities.

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Blog

A look ahead to 2023 for health plans and TPAs

TPAs and health plans are facing significant headwinds when it comes to creating a modern healthcare network. So how do we move forward?

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