Solutions

Together, we can connect, streamline, balance and clarify healthcare payments.

It’s no secret: the healthcare system is deeply fragmented, and more inefficient than ever.

Traditional, siloed approaches will not fix this antiquated system. It will take an integrated solution encompassing network analytics, payment integrity, electronic payments and member communications. A solution built with agile technology to bring payers, providers and consumers together – and infuse new levels of care to every healthcare claim.

We’re building Zelis as a unified solution to fix:

$ 2 T*
in wasted spending
$ 281 B*
in administrative waste alone
  • Unreliable provider data
  • Poor provider network performance
  • Gaps in payer networks

*NEJM, “Tallying the Waste in American Healthcare,” Jan. 5, 2021

A bold new world.

We’re taking a holistic approach that removes friction from the entire payment process by focusing first on pre-service and pre-payment modalities: because clean, accurate data at the outset streamlines payments and leads to savings and efficiency for all participants.

Provider Payments product UI
Network Performance Product UI
$ 27 B
in network and claims cost savings
$ 50 B
payments delivered annually
60 %
reduction in print and postage costs
Claims Negotiations Product UI

Our Solutions

Purpose-built approach.

We’ve built Zelis from the ground up to address the most abrasive aspects of the payment process. The only way to deliver on our promise to help you pay for care, with care is by identifying and solving the most complex steps of every healthcare transaction.

Payment Integrity

Pre-payment savings on every claim.

Woman presenting to group

Out-of-Network Solutions

Multi-layered approach minimizes abrasion and delivers measurable savings.

Man explaining something on computer screen

Payments Optimization

Transform how providers get paid and drive member satisfaction with clear communications.

Woman using app on phone

Networks

Build, optimize, maintain, access and sell stronger networks.

Man describing and talking with hands

Take the Next Step

Friction in healthcare payments ends here. Let us show you how.

Woman in white shirt smiling