Claims Optimization
Optimize networks, maximize savings on every claim while minimizing provider friction.
Zelis® Healthcare Payer Solutions
Drive measurable ROI with a partner built to scale across the entire financial ecosystem.
Solutions For Every Type of Payer
Optimize performance and modernize workflows with solutions tailored to your business needs.
Drive efficiency while improving provider and member experiences.
Learn moreSimplify complexity of medical claims payments.
Learn moreMaximize claim savings and revenue with scalable, branded experiences.
Learn moreUse actionable analytics to prove value, control costs and compete.
Learn moreImprove efficiency & enhance satisfaction with our integrated payments platform.
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Explore Our Healthcare Payer Solutions
Payments Optimization
Simplify payments, gain operational efficiencies and strengthen provider and member trust.
Member Communications
Reduce complexity and move members from confusion to clarity.
Member Engagement
Empower your members to find the right care.
Network Management
Build, maintain and optimize high-performing provider networks.
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How One Payer Used Market-Based Pricing to Drive Out-of-Network Savings
See how a regional healthcare payer expanded ERS market-based pricing to grow out-of-network savings while keeping provider disputes low.
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Better Outcomes Before IDR: A TPA Case Study in NSA Performance
Explore how to use AI and automation improve healthcare claims management and how collaborating with experts can help.
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B2B Provider Payments: Customer Success (ZAPP + ZAPP Edge)
Learn how one payer reached 70% EFT adoption, cut $400K in print and postage costs, and improved operations using advanced payment solutions.
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Proven Savings with SmartShopper
Discover the findings of the Wakely report, highlighting savings of $552 through SmartShopper participation and care transparency.
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Resources for Payers
P&C Medical Payments: Stop the Fragmentation
Bodily injury now tops 26% of auto claims costs. See the 4 fault lines driving P&C medical payment fragmentation — and how a connected model fixes it.
Payment Integrity’s AI Moment: IDC Spotlight
See how AI is shifting payment integrity from post-pay recovery to pre-pay prevention. Download the IDC Spotlight report to see what's next.
The Infrastructure Behind Clear Member Communications
Clear EOBs, ID cards and enrollment materials start with connected claims data, compliance expertise and resilient operations behind the scenes.
