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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Healthcare Rewards Program
Reward members for searching for and getting high-value, lower-cost care with SmartShopper®.
Make Healthcare Shopping Easier and More Rewarding
Reward smarter choices
Encourage members to search for and get high-value, low-cost care with cash rewards and clear guidance.
Highlight quality care
Recommend providers using quality ratings and clinically backed measures.
Personalize outreach
Engage members with targeted messaging, smart landing pages and activity tools.
Show expected costs
Help members compare care options and understand costs in one simple dashboard.
Add virtual care
Create a digital front door that helps members find care when they need it.
Offer concierge support
Give members personalized help with scheduling, authorizations and program questions through our Care Concierge Team.
Calculate Your Savings
Manual payment processes can cost you money and damage provider relationships. See how much you can save with Zelis.
Care Concierge Team
Our Care Concierge Team (CCT) provides personalized support and guidance so members can navigate their healthcare options and make informed decisions.
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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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Zelis Health Bill Assist℠ helped cut $52,000 in medical costs
Discover how expert advocacy and support from Zelis Health Bill Assist helped one member save $51,000 on an out-of-network medical bill.
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How one health system manages high payment volume in half the time
See how one large health system cut payment reconciliation time in half and streamlined high-volume payments with Zelis.
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Member Rewards Resources
Zelis Named a Strong Performer in The Forrester Wave™
March 4, 2026 Zelis Named a Strong Performer in The Forrester Wave™: Customer Experience Platforms for Healthcare, Q1 2026 Zelis has been recognized as a Strong Performer in The Forrester…
Insights for Every Role: Using Claims Data to Stop Denials
Learn how providers can use claims data to prevent denials, accelerate cash flow, and improve financial performance.
CMS Proposes Major Updates to Health Care Price Transparency Rules
On December 19th, The Centers for Medicare & Medicaid Services (CMS), in collaboration with other agencies, announced proposed updates to the healthcare price Transparency in Coverage (TiC) rules introduced during…
SmartShopper® FAQs
SmartShopper® is a healthcare rewards program that helps members find high-value, low cost providers and earn rewards for getting care from that provider.
SmartShopper® guides members toward cost-effective care options, helping reduce claims costs while creating a more rewarding member experience.
SmartShopper® gives members cost information, quality insights, rewards and access to the Care Concierge Team for personalized support.
The Care Concierge Team gives members human support with program education, provider shopping, scheduling, authorizations and reward questions.
Yes. SmartShopper® can connect through APIs and integrate cost, rewards and member benefits data into existing platforms.
SmartShopper® helps payers lower costs, improve member satisfaction and make healthcare shopping feel simpler, clearer and more rewarding.
