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 + Zelis Payments Network)
Watch as Zelis experts explain the White House’s executive order and its impact on price transparency.
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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
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.
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.
