Custom Search Calls for Member Needs

Brian had spent weeks avoiding scheduling an essential consultation for his knee. He had the referral to see a specialist, but he needed help locating one. In the past, finding a new provider would take him hours of phone calls and frustration, and Brian wanted to avoid all the hassle. Searching for a provider reminded Brian of the old saying about finding a needle in a haystack.  
 
Meanwhile, his knee continued to act up.

Why It Matters

User-relevant search results

Concerned for her dad, Brian’s daughter Jessica reminded him that his insurance portal had an easy-to-use provider search feature. Brian and Jessica were unaware that Zelis’ Provider Search API powered the portal’s search data. Instead, they marveled at the granularity of the search metrics. Brian could search by provider-accepted networks, location, specialty and even education details. Thanks to the depth of the Provider Search databases, Brian’s pursuit of the right provider no longer felt impossible. That haystack was gone. Now, he could finally see someone about his knee.

Use Case Featured APIs

Zelis APIs

Frictionless search functionality

Brian’s experience is common. Patients delay or avoid treatment because they face obstacles in finding providers who suit their needs. Zelis offers a solution to cut through the murkiness of provider searches. The Provider Search API accesses relevant provider data to illuminate the search process with metrics pertinent to the individual member. This provides members with search utility while streamlining operations and removing barriers to treatment.

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Optimized and compliant data solutions

In the ever-changing healthcare financial space, Zelis offers stability through vetted, accurate, and legally compliant data. Zelis data experts maintain and update the resources powering API products like Provider Search. This effort ensures that Provider Search data complies with regulations like the Transparency in Coverage mandate.

Why Zelis?

Zelis enables users

We are more than just provider data 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 boost your platform’s performance.

Why Zelis?

Efficiency Exemplified

TiC Compliant Data

Zelis provides API consumers fully compliant data sets to ensure regulatory adherence

Custom Configuration

Clients can customize their data for specific business needs

Expertly Curated Resources

Zelis technical expertise ensures the veracity and relevancy of data sets to optimize integration with client platforms

Other Use Cases

Leading by example

Use Case

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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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