Choose Better Care. Earn Rewards
Leo just turned 50 and, during a routine checkup, his primary care physician recommended a colonoscopy. Like many people, Leo was unsure where to go or how much it would cost. He logged into his health plan’s portal to explore his options.
Thanks to the Cost Rewards API, Leo was able to quickly search for in-network facilities that perform colonoscopies and compare their costs. He chose a lower-cost provider and, to his surprise, earned a reward for making a cost-effective decision. What could have been a confusing and expensive process became simple, transparent, and rewarding.
Why It Matters
Lower costs, better outcomes
Healthcare costs can vary widely—even for the same procedure. The Cost Rewards API helps members like Leo make smarter choices by surfacing lower-cost, in-network options for shoppable procedures, including preventative care. By rewarding members for choosing more affordable care, the API helps reduce out-of-pocket expenses and lowers the total cost of care for health plans.
Use Case Featured APIs
- Cost Rewards API
Zelis APIs
Guided choices, real savings
After using the Cost Rewards API to schedule his colonoscopy, Leo felt more confident navigating his health plan’s tools. A few weeks later,while chatting with his coworker Priya mentioned she was putting off a preventative screening because she wasn’t sure how much it would cost—or if it was even covered.
Leo shared how he had used their health plan’s portal to compare costs and earn a reward for choosing a lower-cost provider. Intrigued, Priya logged in later that day and explored her options. She found an in-network facility offering the screening at a much lower cost than she expected—and she qualified for a reward, too.
For both Leo and Priya, the Cost Rewards API turned uncertainty into clarity. It helped them take control of their healthcare decisions, avoid unnecessary expenses, and get rewarded for making smart, informed choices.
Better experiences start here
TheCost Rewards APIbrings transparency and incentives together in one powerful tool. Members can search for procedures, compare providers, and get rewarded—all within a familiar digital environment. It’s a simple, effective way to guide members toward better care at a lower cost.
Zelis enables users
We are more than just cost comparison experts. Zelis’ innovative catalog of APIs bolsters platforms with intelligent technologies designed to reduce friction in the healthcare financial space. Read on to learn how to leverage Zelis innovation to bolster your platform’s performance.
