Claims Optimization
Maximize savings on every claim, unlock revenue and simplify complex workflows.
Zelis® for Third Party Administrators
Find savings, simplify workflows and help clients get more from every plan.
Explore Solutions Built for Third Party Administrators
Payments Optimization
Fortify strategies, discover savings earlier and stay ahead of changing requirements.
Member Communications
Deliver better communications to plan members.
Member Engagement
Empower plan members to find the right care at an affordable cost.
Network Management
Build, maintain and optimize high-performing provider networks to meet employer population needs.
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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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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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B2B Provider Payments: Customer Success (ZAPP + Zelis Payments Network)
Watch as Zelis experts explain the White House’s executive order and its impact on price transparency.
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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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Resources for Third Party Administrators
Everest Group 2026 Pre-Payment Integrity Report
Download Everest Group’s 2026 Pre-Payment Integrity PEAK Matrix report to see why Zelis was named a Leader for prevention-first payment accuracy for payers.
Zelis Recognized by Everest Group for AI-enabled Pre-payment Integrity Solution
Zelis has been recognized as a Leader in Everest Group's Pre-payment Integrity Solutions PEAK Matrix® Assessment 2026.
Payment Integrity Vendor Selection Infographic
Download the infographic to evaluate payment integrity partners, pressure-test ROI and connect pre-pay prevention with post-pay claims intelligence.
Third Party Administrators’ Frequently Asked Questions
Zelis helps TPAs find savings, improve network performance, simplify payments and deliver clearer communications for clients and members.
Yes. Zelis helps TPAs uncover savings across claims, networks, payments and out-of-network costs before waste becomes harder to manage.
Zelis helps TPAs analyze network performance, fill access gaps and build primary, secondary, wrap and specialty networks.
Keep reading: Network Management Solutions
Yes. Zelis helps TPAs manage payments from start to finish with tools that reduce manual work and make the process easier to control.
Keep reading: Payments Solutions
Zelis helps TPAs send clearer enrollment and claims communications so members better understand their benefits and next steps.
Keep reading: Member Communications Solutions
Zelis brings network, claims, payment and communication tools together so TPAs can work smarter and deliver more value to clients.
