Modernizing the financial experience so claims flow.

Zelis enables healthcare insurers and providers to ensure access to quality care at a reasonable cost by removing friction in the healthcare financial system.

Why That Matters

Modern care is more than clinical.

Our healthcare system is delivering amazing clinical achievements, on a massive scale. But the financial experience is proving to be just as important to how people engage with, feel about, and respond to healthcare. Today, that experience can often be riddled with pain and confusion, and sometimes, a deterrent to care.

As clinical care keeps improving by leaps and bounds, what if the healthcare financial experience could keep pace as well? What if bills, service codes and payments didn’t drag down the experience of healthcare but powered it forward?

Zelis is on a mission to modernize the healthcare financial experience so care doesn’t slow. It flows.

When financial progress flows throughout every part of the system, bold transformation is possible.


Stories of Impact

Bridging Gaps in the Financial System

Case Studies

A Blues plan Plan Reduced Operational Costs and Increased Electronic Delivery of Communications with Zelis

By choosing to add Zelis payments optimization to existing processes, this plan realized significant internal optimization and savings.

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Case Studies

Client-Focused Partnership with ACS Benefit Services Drives Millions in Savings

Faced obstacles with optimizing existing processes, ACS has partnered with Zelis for over 10 years to improve operations.

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Case Studies

Long-Term Partnership with AmeriBen Drives Membership Growth and Billions in Savings

AmeriBen partners with Zelis to adopt innovative solutions that increase revenue and maximize cost management.

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Working on behalf of more than 750 insurers, for millions of care providers and plan members, to optimize the cost of care through intelligent claims management, to power faster and more seamless payments, and to bring more clarity to the healthcare financial journey.​

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claims priced annually

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payments processed annually

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claims cost reduction

Our Pledge to You

Three unique principles underscore all we do.

Technology built by healthcare experts.

Our technology is purpose-built for healthcare, using deep industry expertise to help our clients better operate and stay current with changing regulations in the complex and evolving healthcare financial landscape.​

Partnership that evolves with you.

We’re passionate about your success. We work with you to build the right solutions, helping you scale and grow.

Visibility that unlocks value.

Zelis has data, insights, and solutions that span the entire healthcare financial experience, enabling us to identify, optimize and solve problems holistically, driving real, measurable results for clients.​

A Dynamic Executive Team

Leading Zelis and healthcare forward.

At the helm of Zelis is a dynamic team of experts with deep experience across healthcare, technology, and financial companies. Together, this diverse group is leading the way for a better healthcare financial experience (and having a heck of a lot of fun).

Careers at Zelis

Finding your purpose in our purpose.

We’re passionate about making an impact on the healthcare financial experience for all. We’re Zelis and we’re just getting started. If you’re ready to tackle the biggest challenges in the business of healthcare, join us.

A Legacy of Impact

Milestones

1995
2003
2012
2015
2017
2018
2019
2021
2022
SKIP

Stratose

Founded as Stratose in 1995, we first focused on expanding access and delivering an innovative wrap network solution to small and mid-market payers.

PHX

Acquired PHX integrating claims cost management strategies.

Payplus

Acquired Pay-Plus Solutions, bringing payment innovations to our growing platform.

Zelis

United under the Zelis brand, promising a single-source solution to lower costs.

Strenuus

Integrated new analytics capabilities and expanded network capabilities with acquisition of Truven, Ethicare, Strenuus and the Maverest Dental Network.

Netminder

Acquired Netminder.

RedCard

Integrated enrollment and claims communications solutions with acquisition of RedCard.

Sapphire

Expanded member navigation and transparency offerings with acquisition of Sapphire Digital.

PayerCompass

Expanded Medicare capabilities, reference-based pricing, and payment integrity with acquisition of Payer Compass. Expands payments network and capabilities with acquisition of Payspan.