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.
Read more
Zelis® Intelligent Pricing Platform℠
One ecosystem. Unified pricing and payment integrity — every claim routed for accuracy and savings.
One ecosystem. Smarter claims. Greater savings.
Unified architecture
Replace vendor sprawl with a single ecosystem connecting pricing and payment integrity end to end.
Intelligent claims routing
ZIPP routes every claim to the optimal solution and review channel for accuracy and savings.
AI-powered, expert-led
AI flags errors and savings while experts validate every outcome for compliance and defensibility.
ZIPP® by the Numbers
The scale and performance behind every ZIPP deployment.
131.7+
Total claims processed*
$8B+
Claims savings
*Total volume of claims processed across all claims optimization solutions.
As of 12/31/2025.
-
-
How Zelis Helped a Member Save $51K on Their Health Bill
Discover how expert advocacy and support from Zelis Health Bill Assist helped one member save $51,000 on an out-of-network medical bill.
Read more
Explore All Zelis Intelligent Pricing Platform 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.
Frequently Asked Questions About the Zelis Intelligent Pricing Platform
Yes. ZIPP integrates seamlessly with existing claims systems and claims processing platforms, with hundreds of interfaces already developed. You can activate solutions at your own pace with minimal IT and implementation burden.
ZIPP uses the HITRUST security framework, which leverages NIST, ISO and HIPAA security standards.
Yes. ZIPP is modular — you can activate the solutions you need now and scale up over time without disruptive system overhauls.
Our edits are built on gold-standard clinical sources — including AMA, AHA, ICD-10-CM, WHO, CMS, FDA, InterQual and MCG guidelines — plus payer-specific policies. AI routes claims efficiently and clinical and coding experts validate recommendations for accuracy and defensibility.
AI powers faster claim ingestion, automated routing and error detection — reducing manual work and accelerating decisions across your claims workflow. Human experts then review outcomes for defensibility.
