Diverse Networks
Join medical, dental or workers 'comp networks to fill chair time and simplify contracting.
Provider Networks by Zelis®
Reach more patients, simplify payer contracting and grow your practice with Zelis networks.
Designed for Provider Network Challenges
Limited visibility
Providers need easier ways to reach patients looking for in-network care.
Too much admin work
Contracting and credentialing can slow teams down.
Payment uncertainty
Providers want fair rates, clearer claims steps and fewer disputes.
Complex payer access
One contract can help connect providers to more payer relationships.
Provider Network Details
State Provider Provisions
Review state and federal requirements tied to Zelis provider agreements.
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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.
Read more -
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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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.
Read more
Provider Resources
Claims Payment Transparency | Payer Value Series
Part 2 of our Payer Value Series explains how claims payment transparency helps providers reduce write-offs and appeals, while helping payers cut denial-related disputes and rework.
Provider Payment Experience | Payer Value Series
Part 1 of our Payer Value Series shows how claims transparency improves the provider payment experience, cutting denials and write-offs while helping payers reduce disputes and rework.
Zelis® Brings Clarity to Healthcare Costs
Zelis announces an expanded approach to member communications that provides health plans with greater financial context to healthcare claims, payments and benefits.
Provider Network FAQs
Zelis provider networks connect medical, dental and workers’ compensation providers with payers and members looking for in-network care.
Joining a Zelis network can increase visibility in payer directories and help providers reach more patients who are looking for care.
Zelis offers network options for medical, dental and workers’ compensation providers.
Providers can gain broader payer access, streamlined contracting, consolidated credentialing, fair reimbursement strategies and dedicated support.
No. Zelis is not an insurance carrier, third-party administrator or guarantor of payment. Providers should verify eligibility and benefits directly with the payer.
Zelis follows standard NCQA credentialing guidelines to verify provider qualifications, licensure and practice information.
Timelines vary, but most providers complete credentialing and contracting within 30 to 90 days on average.
Providers can call Customer Care at 888.266.3053. Dental network questions can go to [email protected] and medical network questions can go to [email protected].
