Claims Optimization
Capture savings earlier and reduce waste across all claims types.
Zelis® for Benefit Consultants & Brokers
Give clients clearer paths to savings and stronger plan performance.
Find support for every client need
Payments Optimization
Move to electronic payments for lower costs, improved speed and strengthened relationships.
Member Communications
Reduce complexity and move members from confusion to clarity.
Member Engagement
Help members find the right care at a cost they can afford.
Network Management
Build and manage networks that support access, savings and quality.
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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 Benefit Consultants & Brokers
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.
Benefit Consultants and Brokers’ Frequently Asked Questions
Zelis helps consultants and brokers give clients clearer insight into plan performance, network access, care gaps, payment processes and savings opportunities.
Yes. Zelis helps uncover savings opportunities across networks, in- and out-of-network claims by deploying payment integrity capabilities and using a multi-channel savings approach.
Zelis provides tools and insights that help compare network access, cost, quality and performance against client goals and market needs.
Yes. Zelis provides brokers with location-based reporting and provider access insights through Broker Connect. Using Zelis proprietary data, brokers can search by city, state, county, or ZIP code and filter providers by specialty and reference-based pricing acceptance status. Results are displayed visually on a map, including the number of available providers in a selected area.
These insights help brokers evaluate provider accessibility, address employer concerns about reference-based pricing adoption, and give self-funded groups greater confidence when considering Zelis Open Access Pricing® or another RBP plan.
Performance and payments reports that make it easier to show clients where their plans are working well and where they can improve.
Zelis supports health plans, third-party administrators, property and casualty plans and other payer organizations looking to improve savings and performance.
Zelis gives consultants and brokers practical tools, data and healthcare claims and payment expertise to help clients improve plan value and member experience.
