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
Zelis® Contract Modeling
Gain deeper contract insights, compare provider rates to public benchmarks & predict change impact.
Smarter negotiations with automated contract modeling.
Benchmark contract pricing
Compare provider rates to Medicare, Medicaid, direct contracts and in-network MRF data.
Data-driven insights
Predict financial impact and plan ahead with advanced analytics.
Transparent calculations
See exactly how contract terms and pricing are determined.
-
-
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 -
Proven Savings with SmartShopper
Discover the findings of the Wakely report, highlighting savings of $552 through SmartShopper participation and care transparency.
Read more
Explore All Contract Modeling Resources
Healthcare Fraud, Waste and Abuse Guide
Learn what fraud, waste and abuse mean in healthcare, how to spot FWA indicators, and how payers can reduce improper payments with stronger payment integrity.
Reimagining P&C Claims Performance Webinar
Learn how P&C insurers can modernize medical payments, reduce manual work, accelerate claims workflows and improve claimant and provider experiences.
Payment Integrity Vendor Selection White Paper
See how US healthcare payers can choose the right payment integrity vendor, reduce provider abrasion and improve retained savings with smarter claims strategy.
