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Reference-Based Pricing for Network Replacement

A comprehensive savings strategy tailored to fit plan goals.

Referenced Based Pricing Table

Unmatched flexibility and experience.

Zelis supports the payer’s ability to administer any iteration of Reference Based Pricing (RBP), whether for certain out-of-network claims only or as a full or partial network replacement.

Zelis RBP delivers a sustainable savings strategy through unmatched flexibility with pricing, network configuration and support services all tailored to meet unique plan needs.

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Pricing Options

Unlike other RBP approaches, Zelis provides a choice of pricing options and guidance for the best pricing strategy.

Support Services for Sustainable RBP

Clients may choose to customize their Zelis RBP strategy with a range of innovative tools and services designed to advocate for members, improve transparency, manage risk and drive savings.

For Payers

What sets Zelis apart:

  • 15-25% average year one plan savings
  • RBP guidance for smart provider lookup
  • 95% retention rate
  • 20+ years of experience with provider contracting and negotiation

Testimonials

Reference-Based Pricing in action.

Take the Next Step

It’s time for better data.

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