Transparent Medical Procedure Costs
Andrea recently turned 40, and her doctor recommended scheduling her annual mammogram as part of her breast cancer screening. Although she understands the importance of this procedure, she feels overwhelmed by the choices of providers and is anxious about the potential costs involved.
Fortunately, during a conversation with her coworker Mary, Andrea learns that her health plan offers a comparison tool to search for providers and their costs for procedures. What she doesn’t know is that this tool is powered by Zelis’ Procedure Cost API, which estimates her out-of-pocket expenses based on her plan benefits. With this insight, Andrea feels empowered to make an informed choice and is able to schedule her appointment with a provider she can afford.
Why It Matters
Empowered Cost Clarity
Navigating healthcare costs can be daunting, but Andrea is relieved to discover the Procedure Cost API’s capabilities integrated into her health plan’s portal. The functionality allows her to access transparent pricing for her mammogram and other procedures, making it easy to understand what she’ll need to pay out of pocket. The intuitive comparison tool not only displays the costs but also highlights in-network providers, ensuring she can make a financially sound decision.
Use Case Featured APIs
- Procedure Cost API
Zelis APIs
Plan for Financial Wellness
With the Procedure Cost API, Andrea can confidently schedule her mammogram without worrying about surprise bills. By providing real-time estimates based on historical claims data, the API enables her to assess the total costs of procedures with different providers. Now, she and others like her can take control of their healthcare spending, knowing exactly what to expect.
Clarity in Healthcare Costs
Transform complex pricing into clear, actionable insights. The Procedure Cost API provides members with immediate access to real-time estimates and straightforward comparisons among providers. By eliminating uncertainty around expenses, the API’s functionality empowers individuals to make informed decisions about their care, allowing them to prioritize their health without the stress of unexpected costs.
Unlocking Healthcare Financial Visibility
We are more than procedure cost specialists. Zelis’ innovative catalog of APIs bolsters platforms with intelligent technologies designed to reduce friction in the healthcare financial space. Learn how to leverage Zelis innovation to boost your platform’s performance.
Zelis APIs
Featured Products
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.
