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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Improve provider payment performance while reducing cost, friction, and complexity.
Coordinate payments, remittance, and communications through a single workflow to reduce costs.
Synchronize payment and remittance data to reduce reconciliation effort, errors and callbacks.
Adapt payment workflows in real time to evolving provider preferences, enrollment and routing needs.
Reduce escalations through white glove onboarding and dedicated support that keeps providers running smoothly.
Leverage an ACH-enabled experience model that turns provider payments from a cost center into lasting value.
Strengthen payment security through provider validation, intelligent monitoring and fraud controls.
485
Payers who use ZAPP
$300B+
Payment volume
As of 12/31/2025.
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ZAPP is built on a modern, flexible architecture designed to work alongside your existing payer infrastructure — without rip-and-replace work. It connects to your current systems and modernization path through an integrated partner ecosystem that extends capabilities without requiring custom development on your end.
ZAPP orchestrates provider payments across ACH, virtual credit cards, and checks — all from a single rules-driven workflow. Payment preferences, routing rules, and delivery configurations can be updated by your operations team without IT tickets, giving you ongoing flexibility as your network and business needs change.
ZAPP consolidates payments and remittance data from 725 payers into a single provider portal with dedicated support and real-time financial insights built in. When providers have fewer systems to manage and faster access to answers, fewer inquiries and escalations reach your team — reducing operational friction on both sides of the relationship.
Zelis provides white-glove onboarding for both payer teams and provider networks. This includes dedicated account management, turnkey enrollment marketing materials, and strategic outreach to large and mid-market providers — so adoption accelerates without adding lift to your internal operations.
ZAPP includes an intelligent, continuously updated rules engine that applies regulatory mandates in real time and automates required actions. As requirements evolve, the platform adapts — reducing the manual compliance burden on your team and keeping every transaction aligned with current standards.
Every transaction on ZAPP is protected through a multi-layer security practice backed by certification. Risk-based provider verification and enrollment controls, behavioral pattern recognition, and real-time transaction monitoring work together to detect and address emerging threats before they impact your operations.
Yes. ZAPP is a fully integrated platform for health plan payers to manage provider payments, member disbursements, premium payments, and member communications from a single point of control. Enrollment, claims communications, and payment data stay synchronized throughout processing — reducing friction and reconciliation effort across every part of the claims journey.