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Provider Search API

Empower members with a robust self-service tool powered by Zelis data. The Provider Search API allows members to conduct provider searches based on personally relevant metrics, such as provider-accepted networks, quality information, specialty, education details, and location. Zelis’ meticulously curated data allows Provider Search to enhance platform search calls to include information members most desire.

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API Overview

Accessible and transparent results

Data drives the healthcare space, and Zelis is an industry leader in optimizing healthcare data to produce targeted results. Powered by Zelis’s vast data resources, the Provider Search API enables clients to offer members accurate provider information.

Consumers can also access the Quality Data enhancement license to support user search results with quality-scored provider metrics. This combination allows clients to deliver members comprehensive provider and facility evaluations, leading to more confident member selections. API consumers can tailor this data to meet operational needs while bolstering member experiences by delivering relevant provider and facility data.

What to Expect

Why Zelis?

Zelis modernizes healthcare financial experiences through data-driven technology, and our APIs simplify everyday healthcare experiences for your members. The Provider Search API gives your members in-network provider demographic information, and provider quality score, based on their unique search inquiries.

Advantages Breakdown

  • Curated data by Zelis experts
  • Flexible search and filter criteria to help members quickly find the right providers
  • Robust provider and facility information to assist with informed decision making
  • Augment provider details with third-party quality information from a selection of data sources (available separately)
Use Case

Custom Search Calls for Member Needs

Learn how Zelis Provider Search API can offer your members quick access to relevant providers that accept their current plan

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Related APIs

Enhance the workflow of your platform

Provider Search with Transparency in Coverage 

Provider Search with TiC combines powerful search with Transparency in Coverage supported rates, as well as member-specific benefit data and costs.

View Product Overview

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