Deliver smarter healthcare navigation through real-time cost insights, quality comparisons, and integrated reward mechanisms. The Cost Rewards API helps members identify lower-cost, high-quality, in-network care for shoppable and preventative procedures—while encouraging value-based choices through built-in incentives. Designed for seamless integration, it supports more informed decisions and a more efficient care experience.
API Overview
Healthcare decisions often lack transparency, especially when it comes to cost and quality. Without clear comparisons, members may default to higher-cost options or miss out on better alternatives.
The Cost Rewards API enables platforms to surface cost-effective, in-network care options for common procedures. It supports informed decision-making by combining real-time data with a reward system that encourages members to choose wisely—without adding friction to the experience.
What to Expect
Zelis modernizes healthcare financial experiences through data-driven technology, and our APIs simplify everyday healthcare experiences for your members. The Cost Rewards API enables real-time cost and quality comparisons, guiding members to lower-cost, in-network care options and rewarding them for making value-based decisions.
Leo uses the Cost Rewards API to compare procedure costs, choose quality care, and earn rewards—saving money for himself and his health plan.
View use caseRelated APIs
Allow members to share and access reviews and ratings for healthcare providers, promoting transparency in patient care. Ratings and Reviews captures location-specific feedback and features moderated reviews from authenticated users.
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.
Provider Search facilitates easy care navigation with configurable provider and facility searches.