Zelis® for Third Party Administrators

Optimize your operations with comprehensive and layered solutions that uncover real savings.

Why Zelis?

Optimizing financial performance for your clients.

No one else in the industry gives TPAs more tools to integrate network analytics, network access and management, payment integrity, electronic payments, and member communications. The result?

Deep insights that lead drive clarity, efficiency, and savings at every step.

Key Points

Relationships with over 725 payers
13 years average client tenure
69 payer NPS score

Use Cases

Streamline, balance, and clarify the healthcare financial experience.

Analyze and optimize network performance.

Access targeted supplemental networks to cover gaps in care.

Model and build primary, secondary, wrap and specialty networks.

Gain efficiency with a single point of contact for pre-payment optimization.

Take control of the payments process from beginning to end.

Engage members with clear enrollment and claims communications.

See the Zelis Platform

Case Study

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.

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Annual claims value

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claims cost reduction

Zelis is built for all payers.

Partnering with over 770 health insurance companies.

Health Plans & National Carriers

Scale and grow with an independent partner that deeply understands your needs and can address your entire financial system or prioritize the most abrasive aspects of your business.

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Property and Casualty Plans

We’re here to bring you a tailored single-point solution that includes electronic payments, balanced network design, and leading-edge analytics to auto and worker’s compensation plans.

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Brokers & Benefit Consultants

Your clients value your input – and we can help you make your relationships even stronger. Deliver results with next-generation employer solutions.

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Resources for Third-Party Administrators

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Playbooks

Reducing Provider Abrasion in Payment Integrity

Download the Zelis white paper to learn how payers can reduce provider abrasion with the Triple E framework: Enable, Educate, Engage.

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Playbooks

Modern Engagement Strategies for Health Plans and TPAs

Explore how the power of integrated payments platform can revolutionize your business operations and customer interactions.

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Infographics

Man smiling - digital benefits experiences are becoming a growth lever for TPAs

The ROI of Better Benefits

See how a digital benefits experience helps TPAs improve operations, satisfaction, and employer retention.

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