Get access to more prospective patients by being listed in the provider directories of more than 700+ payers increasing your patient steerage.
Medical and Dental Provider Networks by Zelis®.
By working with Zelis, providers get access to our networks and gain exposure to more than 100 million patients nationwide, placement in provider directories of more than 750 healthcare payers and third-party administrators, fair reimbursements and more.
Dive Deeper
Expand Your Reach with Zelis Provider Networks
Get access to more patients through multiple payer sources by joining our networks, as either a medical or dental practitioner.
Zelis network clients are looking for the broadest access to healthcare providers and facilities. We help steer members to health systems and providers through our proprietary networks. Contracting with Zelis brings increased patient visibility, providing your organization a confidence boost in rapidly changing market conditions.
You’ll get greater reach and reduce administrative costs by joining a Zelis network. Through a single contract that offers a streamlined credentialing process, you’ll be in-network for insurance carriers, third-party administrators, and self-funded employers across the country. Our competitive rates for primary and supplemental business are often higher than you’d receive remaining out-of-network.
Zelis Networks at Work
Scale and grow your business by joining a Zelis Medical Network.
Scale and grow your practice with an independent partner who provides you access to more prospective patients. Let’s work together.
Zelis Networks at Work
Scale and grow your business by joining a Zelis Dental Network.
Scale and grow your practice with an independent partner who provides you access to more prospective patients. Let’s work together.
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Frequently Asked Questions
Zelis Network Solutions is the brand name for Stratose, 4Most, PPOPlus, HFN, Maverest Dental Network, NPPN/Plan Vista, Qualident, OPPN and PlanCare America, which merged in 2016 serving more than 750 healthcare payer clients, more than 1.5 million healthcare providers and millions of healthcare consumers in the medical, dental and workers’ compensation markets nationwide.
Zelis is the network and not an insurance carrier or third-party administrator. We are unable to validate payment policies or verify specific benefits for members. You are encouraged to call the payer directly to verify member eligibility and request benefits before providing services. They should also be able to assist you in determining any co-insurance, co-pays, or deductibles that may either need to be collected from the member or be waived in response to either recent state or federal proclamations or employer-initiated changes in benefit plan designs. Many payers offer benefit inquires through their website so please consider checking for the latest information through the payer website or other online portal.
Zelis offers medical, dental and workers’ compensation networks and connects healthcare providers like you with payers and members who need high-quality care. We simplify claim pricing and payment through smart technology, fair reimbursement strategies, and supportive service—so you can spend less time navigating administrative hurdles and more time focusing on your patients.
Joining our network could help with faster payments, fewer claim disputes, and access to patients looking for in-network providers. You’ll benefit from transparent pricing, supportive service teams, and tools that make your job easier—not harder. We’re here to help you thrive in a complex healthcare landscape.
• Dental – access to 40+ payers, third-party administrators and brokers through one contract . Participating in network grants a larger chance of receiving payment, fills chair times, consolidated credentialing (initial and recred entialing) and contracting.
• Workers’ Compensation – 12+ bill review companies. Being in network for Workers’ Compensation gives preferential treatment as being in-network for a state .
• Medical – access to 750+ payers through one contract. Participating in network grants a larger change of receiving payment, and offers consolidated credenti9aling (initial and recredentialing) and contracting.
Our payer clients use smart tools to help members navigate to in-network care. That means more visibility for your practice and more opportunities to care for patients who are actively seeking quality, cost-conscious care.
We partner with a broad range of payers including health plans, third-party administrators (TPAs), and employer groups who value flexible, provider-conscious pricing solutions. That means you’ll be working with payers committed to transparency and fair payment.
Zelis Network Solutions is not a payer, administrator, insurer, underwriter, or guarantor of payment for or of member benefit programs and is not liable for any payment of services under this agreement?
Joining is easy. Start by clicking here.
We follow standard NCQA credentialing guidelines to verify your qualifications, licensure, and practice information. It’s a straightforward process designed to ensure quality and compliance while respecting your time. Our team will keep you informed throughout.
Timelines can vary, but most providers complete the credentialing and contracting process within 30–90 days on average.
Yes, we’ll provide a clear agreement outlining your rights and responsibilities as an in-network provider. We’re committed to fair, transparent partnerships and we welcome any questions you may have before signing.
Our pricing models are designed to balance cost savings with fair reimbursement. We use a combination of industry benchmarks, market data, and payer and provider input to recommend rates that are reasonable, competitive, and respectful of your services.
In most cases, you’ll be paid directly by the payer. If a third-party payment partner is involved, we’ll let you know and ensure that the payment process is seamless and timely.
All claims are to be submitted to the address or payer ID on the back of the member ID card for proper processing.
If a claim isn’t paid as expected, you should contact the number provided on the remittance or the number on the members ID card.
All claims are to be submitted to the address or payer ID on the back of the member ID card for proper processing.
We have a dedicated provider support team available by calling 888.266.3053. Whether you need help with enrollment, claims, or payment, we’re here to listen and resolve issues quickly. You can also reach out to our Network Relations Team using the email addresses below:
[email protected] – for any dental related network questions
[email protected] – for your medical network questions.
Questions?
Have a question ? Call Customer Care 888.266.3053