Empower your members.

Members who understand their options make confident healthcare decisions. Help them find and access quality care when and where they need it – at a reasonable cost.

Why Zelis?

Clear and simple care navigation, powering a modern financial experience.

Empower members to make informed decisions and to share in the savings, which encourages consumerism and cost control.

Key Points

  • Empower members to make informed decisions through data-driven solutions
  • Provide clarity with personalized care selection when they need it
  • Meet critical transparency regulations of NSA and TiC

Member Engagement Solutions

Enabling the complete care shopping, selection, and scheduling experience.

Provider directory for health plan members. 

Meet Transparency in Coverage requirements while giving members easy access to cost estimates and empower them to address and manage household healthcare spending.  

S365 boasts these features:

  • Care navigation: Help members easily find care for shoppable procedures through provider and facility search.  
  • Concierge care team: Personalized support through phone, chat, or email helps members find and schedule care.  
  • Cost evaluation: Give members valuable insight into medical care costs so they can better prepare for expenses.  
  • One-stop shop: Integrate with SmartShopper so members have an easy way to receive rewards and access all the information they need in one place 

Explore solution

A healthcare navigation service that rewards members for finding and getting the care they need. 

Empower members with a guided healthcare shopping experience that encourages them to make high-value care choices, reduce their out-of-pocket expenses, and receive cash rewards. Plus, you benefit by lowering your total cost of care.  

SmartShopper boasts these features:  

  • Rewards: Improve member satisfaction and lower costs by rewarding members for shopping. 
  • Easy web application: Available as a free-standing web application or as an integrated program within S365.   
  • Quality healthcare: Give members the assurance of receiving care at high-quality facilities that also provides affordable costs.  
  • Concierge care team: Personalized support through phone, chat, or email helps members find and schedule care.  

    Explore solution

    A member activation and engagement solution that’s customizable to your individual needs.

    Omni-channel targeted outreaches and rewards come together to help you reach your plan goals. Whether you want to lower total cost of care, increase member satisfaction, or help your population stay healthy, Propel can help you get there faster. 

     SmartShopper Propel boasts these features:  

    • Omni-channel communications: Connect with members their way by communicating with them through notifications, phone, email or mail. 
    • Care Concierge Team: Members have access to our Care Concierge Team. They are on stand-by to support your members. From selecting to scheduling to pre-authorizations, they make next steps, no sweat. 
    • Embedded surveys: Whether you want to send out health assessment surveys to get a better understanding of your population or pre-HEDIS/CAHPS surveys to gauge your members’ perception, embedded surveys make it easy to do so.  
    • Custom programs: Customize outreaches and tasks to meet plan goals, such as closing certain care gaps. Adding additional programs, such as Food is Medicine or Tobacco Cessation programs, is also available.  

    Explore solution

    A multi-carrier provider directory for exchanges, benefit consultants, and healthcare IT partners. 

    We clean, organize, and standardize the best available provider network data from multiple carriers to put the most reliable provider information within your members’ reach.   

    • Provider search: Supply members with the most reliable provider search tools across commercial, Medicare, exchange, vision, dental, and behavioral health.   
    • API monitoring: Maintain the integrity of provider network data by spotting application errors before they cause disruptions in service with constant, automated API monitoring.   
    • Agile solutions: Standardize provider information according to internal business rules with an agile API that adjusts to your workflow, delivering exactly the variables your developers need.  

    Explore solution

    This is my first experience with SmartShopper and was greeted by Shannon, a Personal Assistant, who was a tremendous assistance. My first experience has been a pleasure!
    Happy to find a facility that helps control costs. Tired of out-of-pocket expenses that aren’t covered by insurance and the procedure costs range is amazing overpriced by some facilities.
    I would give the Personal Assistant Team 10 stars! Their service is excellent. They find my facilities nearby, update me on new procedures, and guide me through what I might need. Tell them I say thank you!
    My husband and I just used SmartShopper to schedule our annual procedures. The provider was wonderful, and we earned $150 cash back! 100% recommend.
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    Let’s talk about modernizing your business.

    There’s no shortage of ways we can help. Get a conversation going with one of our Solution Advisors and build a thoughtful approach aligned to your business goals.

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