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.
Enter the number of members covered under your plan to see your savings
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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Member Rewards Resources
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.
Zelis Named a Strong Performer in The Forrester Wave™
Zelis has been recognized as a Strong Performer in The Forrester Wave™: Customer Experience Platforms for Healthcare, Q1 2026.
Cost Transparency and Consumer Behavior: An Analysis of Consumer Responses to Pricing
Study on healthcare cost transparency and consumer behavior. Learn how pricing clarity shapes care choices, trust, engagement, employer value.
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.
