A turnkey approach to building and optimizing better networks faster than ever.
Advance your network build and optimization efforts.
Standing up a new network strains resources – and if you’re like most health plans, that’s one thing you don’t have a lot of right now. Whether you’re building out new business, expanding your network or bidding on an RFP, you need results, and you need it fast to hit hard deadlines.
Zelis Network Builder and Optimizer, paired with our Network Build Professional Services, enables you to offload all or part of your network build. Our team will act as an extension of your own, delivering the network you need, supported by the data and services you need, when you need it.
We combine your in-house CRM and provider metrics with our own data around access, adequacy, and competitive performance to address gaps and prevent over contracting. Giving you the data to have confidence in your network.
Plus, with Zelis Network Build Protection, you’ll have a back-up network for your members to access while you finalize contracts and other details.
Leverage both in-house and Zelis proprietary data to meet requirements and uncover key insights about key performance metrics.
Virtual Network Builder
Create virtual networks and test them against key access and adequacy requirements and adjust before going to market.
Professional Build Services
Offload all or part of your network build to Zelis.
Network Build Protection
Avoid the stress of tight deadlines, last-minute credentialing and contracting hiccups with backup, ready-to-go network options that ensure you’re covered until your network build is complete.
Measure access and minimum provider ratios for individual physicians and facilities, both in your own and competitors’ networks.
Project costs and estimate network savings, based on member utilization before going to market, to drive more informed decisions about provider selection.
Draw from our customized provider recruiting lists to stay focused during your contracting phase or offload the entire process to our team.
Proactively move the process earlier in the network build to eliminate delays. Don’t let credentialing be an afterthought.
Network Performance in action.
“As a regional health plan, we face challenges with serving our local communities and having an understanding of what is happening on a national level. Working with Zelis helps us tackle that problem. They have knowledge beyond our region, and they help bring that information to us so that we can make smarter strategic decisions.”
– Todd, Manager of Regional Health Plan
“One of the best benefits of working with Zelis is their flexibility to meet our ever-changing needs. Our TPA is geographically located in a very demanding “provider hotbed” so we experience excessive pushback and nonconformity. Zelis continues to put forward unique options and opportunities to allow collaborative efforts to manage the high cost of services in our members’ complex market.”
– Cindy, COO of TPA
“Our partnership with Zelis is one of the most flexible we have. Zelis is very proactive in finding cost savings for our clients and always has our interests in mind. We‘ve never heard them say, “we can’t do that.” We always hear that Zelis will see how they can help.”
– Deena, COO of TPA