Procedure Cost
Provide users with complete procedure cost information through your platform. Costs include member out-of-pocket totals when benefit information is available from historical claims data.
Rewards History
The Rewards History API provides secure access to a member’s reward activity and the status of potential rewards. This functionality requires a subscription to either the Cost Rewards or Procedure Cost APIs.
This API helps members keep track of their reward activity and understand if they may be eligible for a reward. Support teams can also access this information to quickly and accurately assist members.
By making this information easily accessible, the API reduces the need for support calls, improves transparency, and helps members feel more confident about their healthcare decisions.
API Overview
Track reward activity and status with ease
Members often want to revisit their past reward activity or confirm the current status of a reward tied to a healthcare decision. Without a centralized view, this can lead to confusion, missed incentives, and increased support inquiries.
The Rewards History API enables seamless access to a member’s reward history and the status of their potential rewards. Designed for platforms subscribed to both Cost Rewards and Procedure Cost, this API supports both member self-service and internal support workflows. It ensures members stay informed and support teams respond faster—with less manual effort.
What to Expect
Why Zelis?
Zelis modernizes healthcare financial experiences through data-driven technology, and our APIs simplify everyday healthcare experiences for your users. The Reward History API helps both members and support teams track cost reward activity and reward eligibility—reducing friction and enhancing transparency.
Advantages Breakdown
- Self-service access to recent reward activity
- Future-ready support for viewing reward status
- Reduced support inquiries through member transparency
- Faster resolution of member questions by support teams
- Secure access to reward eligibility and data
- Improved member engagement with incentive programs
Use Case
Clarity on your care and rewards
See how Noah (member) and Kyle (support representative) use the Rewards History API to track reward activity and confirm reward status with ease.
View use caseRelated APIs
Enhance the workflow of your platform
Cost Rewards
The Cost Rewards API allows members to quickly find the total cost of a procedure by provider and any available rewards.