Use Cases

Our APIs in Action

Innovative Friction Removal

Obstacles litter the healthcare financial system, grinding down efficiency and raising costs. These aren’t just inefficiencies; they’re stressors for your users simply trying to navigate a convoluted system.

Offer a reprieve.

Explore our use cases and learn how to leverage Zelis’s innovation to eliminate costly hurdles while amplifying user engagement and satisfaction.

Use Case

Premiums Payments API: Accounts

The Premiums Payments API, helps Emily understand, track, and mange her family’s healthcare bills all from her payment portal.

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Use Case

Premiums Payments API: Autopay

With Zelis Premiums Payments API, Maude can easily schedule, edit and cancel automatic premium payments directly through her insurance portal.

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Use Case

Premiums Payments API: Payment Instruments

Bai uses the Zelis Premiums Payments API to save and access multiple payment instruments for easy, frictionless payment processing.

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Use Case

Premiums Payments API: Hosted One-Time Payments

With the Premiums Payments API, Rowan can submit one-time payments easily through a hosted-payment page model with after-the-fact reporting.

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Use Case

Premiums Payments API: Invoices

With the Zelis Premiums Payments API, Olena may easily view outstanding and settled invoices through their payment portal.

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Use Case

Premiums Payments API: Payments

Kyle loves using the Premiums Payments API with his insurance portal to track payments and settle invoices using his existing digital wallet.

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Use Case

Man working on laptop

Provider Search: Transparency in Coverage

Chris uses Provider Search to ensure all member searches are compliant with the Transparency in Coverage mandate requirements.

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Use Case

Provider Search

Brian learns the benefits of using Provider Search to locate a provider that also meets other specific metrics important to Brian.

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Use Case

Digital Health ID Pass

Reggie teaches members the benefits of using the Digital Health ID Pass to carry their health plan information in their digital wallets.

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Use Case

Provider Nexus: Medicare Advantage

Sidney uses Provider Nexus’ robust search functionality to find Medicare Advantage providers that fit his unique healthcare needs.

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Use Case

Provider Nexus: Individual & Family Health Plans

Learn how Eliza uses the Zelis Provider Nexus API to facilitate member enrollment with flexible provider directory search functionality.

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Use Case

Debunking Common RBP Misconceptions

Premiums Payments API: One-Time Payments

Learn how Lena uses the Zelis Premiums Payment Gateway to optimize batch and one-time payments through a hosted payments page.

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Use Case

Transforming Healthcare Transparency with Payer MRFs

Premiums Payments API: Batch Payments

Learn how Lena uses the Premiums Payment Gateway API to make batch premium or binder payments through a hosted, custom-branded page.

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Use Case

Price Optimization QuickReprice

Learn how Malike uses the CCS QuickReprice API to improve the typically slow, and frustrating claims adjustment process.

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Use Case

Search and Retrieval

Sam strives for a paperless life and carries her insurance ID securely on her smart device thanks to the Zelis Search and Retrieval API.

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Zelis APIs amplify your success

Our APIs are designed to optimize your operations with modern solutions to common pain points in the healthcare financial space. We are here to help boost efficiency on your platform while elevating the user experience. Review our catalog of products and discover how Zelis can ease the friction in your enterprise.  

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