Home / Provider Nexus Use Case

Customized Provider Searches

Ethan’s family has diverse medical needs. Everyone in Ethan’s family seeks specialized care. His wife recently gave birth to their second child, and their eldest is a budding daredevil with no fear of heights. Ethan’s occupational injuries also require regular attention. Finding the proper care for his family is the priority for Ethan, made easier by the Provider Nexus API 

With Provider Nexus, Ethan can initiate customized provider searches, identifying the best options for his family based on personalized criteria. Ethan isn’t beholden to clunky search functionality. Provider Nexus uses intelligent technology to deliver accurate and relevant call returns. 

 

 

 

Why It Matters

Optimization by design

Ethan did not understand the technologies powering his insurance platform’s search feature; he just liked the tool’s granularity and accuracy. It did not matter to Ethan who maintained the provider databases; he just cared about the responsiveness and accuracy of his inquiries.

Zelis designs APIs for efficient platform integration. The result is a frictionless user experience that optimizes operations and enhances the user experience.

Use Case Featured APIs

  • Provider Nexus: custom provider searches with curated plan suggestions based on users’ unique needs.

Zelis APIs

Precision search functionality

Zelis support does not stop at system integration. Zelis provides best practices for calibrating robust search filters to ensure fast REST call returns. Fine-tune data sets by geolocation, network ID, and other metrics like provider type or specialty. This level of detail boosts utility and gives users more control over their search inquiries.

Layered security protocols

The Provider Nexus API has built-in security to prevent data theft by hindering third parties from infiltrating your application to make calls through your secure keys. Zelis support guides securing user data with industry best practices and anti-scraping policies designed to keep your API keys safe. While Ethan ensures his family remains healthy, Zelis ensures their data remains protected.


What To Expect

Zelis Offers Solutions

We are more than just provider search specialists. 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.

Zelis Enables Users

Efficiency Exemplified

Frictionless Experience

Users can easily search and evaluate provider options in one place.

Digital Directories

Paper catalogs are inefficient and become quickly outdated. Offer users access to up-to-date information directly on your platform.

Detailed Listings

Empower users by offering more than a name and phone number. Show comprehensive provider information including education background and biography.

Zelis APIs

Featured Products

Search Claims

Allow users to search digital claims information securely on your platform.

View API Product page

Search ID Cards

Provide users with encrypted search functionality of member ID cards on your platform.

View API Product page

View Claims

Review digital claims information directly on your platform.

View API Product page

Connect with Zelis

Get Started

Ready for a quote?

Learn more about Zelis API pricing.

Get Support

Have questions?

If you have a question about a purchased product, we’re here to help.