Build, access, and manage competitive, cost-effective, and compliant networks.
Build, optimize, maintain, and sell your network with one unified platform.
Build and optimize competitive, accessible, high value networks to win market share and meet your members’ needs.
Network Strategy, Maintenance and Sales
Track competitor activity and market opportunities to refine your network strategy, identify the best providers to maintain competitiveness, and communicate the strength of your network.
Provider Decision Support
Streamline your provider directory, plan design, and benefits consulting with faster, more reliable provider network data.
Tailored network design based on each client’s unique goals, risk profile, and desired access to providers.
Primary, Wrap, and Supplemental Networks
Access the right provider coverage with our simple, customizable network solutions that drive in-network savings and mitigate out-of-network costs.
Reference-Based Pricing for Network Replacement
Set limits on rising healthcare costs and free members from network limitations.
Networks in action.
“Zelis has a wonderful staff with whom we have enjoyed working with over the last seven years – the passion that they bring to their products and capabilities. They are responsive to our unique needs as a customer, and bring innovation and creativity. They are constantly reaching out to us, and sharing new and exciting ideas and innovations that they are working on or have available in the marketplace.”
– Joel, Executive Director of National Health Plan
“Zelis has great network access and their analytics team is awesome. One of our clients was requesting unique reporting, and this team was able to deliver exactly what we needed. I would definitely recommend Zelis. We’re a small client, but we’re always treated like we are their biggest client.”
– Jeannie, Provider Consultant at Regional Health Plan
“Zelis truly puts their money where their mouth is. They understand the value of being a partner in this industry, and everything is driven by relationships at the end of the day. They recognize and understand the position we have in the industry and have been a great partner for us.”
– Rich, CFO of TPA
Third-Party Administrator ACS Benefit Services realizes $13M in Savings
By choosing to add Zelis as their external partner for healthcare bill reviews, edits, and audits, ACS has converted more than 300,000 paper payments to electronic modalities and realized $13M in gross savings since 2018.