Let Care
Flow.

Transforming an experience full of abrasions, inefficiencies and slowdowns into a system where finance doesn’t slow. It flows.

Bringing flow to the healthcare financial system.

What if all the bills, codes, and payments behind every service didn’t drag down care, but instead, cleared the way for the best care?

Why Flow?

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.

Zelis is on a mission to modernize the healthcare financial experience to

Let Care Flow

Platform Capabilities

Modern financial experiences are built with Zelis®

With five core capabilities that span the entire financial journey, from building and managing high-performing networks to empowering members to shop for and access care, ensuring claims are accurate to seamless delivery of payments and associated communications, Zelis is helping reduce costs and administrative burden, while improving the experience of payers, providers, and members.

Build Better Networks

Meet the evolving needs of your members, providers, and payers by designing, assessing, and maintaining optimal care networks.

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Engage Your Members

Engage and incentivize members to effectively enroll, access and utilize their benefits via enrollment tools, ID cards, cost transparency tools, provider search, personalized support and engagement platforms.

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Optimize Claims Management

Impact the rising cost of care with purposeful innovation, technology, and human expertise to optimize claim pricing and payment accuracy in one platform.

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Send Seamless Payments

Securely deliver critical cash flow and payment data to providers and enable easy collection of premium payments from members or groups.

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Orchestrate Communications

Communicate clearly with members looking to easily understand how their benefits were applied and paid throughout their care journey.

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Creating confidence in the financial experience of care.

One of the things that makes Zelis special is that we believe in the power of honest conversation and courageous actions, and we are intentionally cultivating a culture of courage, trust and partnership with our clients.

In a recent blog, CEO Amanda Eisel discusses several client conversations which challenged the status quo and drove us to better outcomes.

Read Amanda’s blog

Stories of Impact

Bridging Gaps in the Financial System

Case Studies

A Blues 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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Recognized Facilitators of Flow

From Solutions to Workplace Culture, Zelis is leading the way forward.