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.
Learn more
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.
-
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.
Read more -
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.
Read more -
B2B Provider Payments: Customer Success (ZAPP + Zelis Payments Network)
Watch as Zelis experts explain the White House’s executive order and its impact on price transparency.
Read more -
Proven Savings with SmartShopper
Discover the findings of the Wakely report, highlighting savings of $552 through SmartShopper participation and care transparency.
Read more
Resources for Payers
Everest Group 2026 Pre-Payment Integrity Report
Download Everest Group’s 2026 Pre-Payment Integrity PEAK Matrix report to see why Zelis was named a Leader for prevention-first payment accuracy for payers.
Zelis Recognized by Everest Group for AI-enabled Pre-payment Integrity Solution
Zelis has been recognized as a Leader in Everest Group's Pre-payment Integrity Solutions PEAK Matrix® Assessment 2026.
Payment Integrity Vendor Selection Infographic
Download the infographic to evaluate payment integrity partners, pressure-test ROI and connect pre-pay prevention with post-pay claims intelligence.
