Member Experience Enhancement
Meet Miya, a dedicated software engineer and a mother of two young children. She is also the primary caregiver for her elderly parents. Recently, she learned that her father needed knee replacement surgery, and Miya wants to ensure he gets the best care possible. With her demanding job and family responsibilities, Miya needs a quick and reliable way to make an informed decision.
Miya’s health plan integrates the Ratings and Reviews API into their member portal. This integration allows her to access valuable user-submitted reviews and ratings for in-network providers, helping her choose a highly rated provider for her father’s surgery with confidence.
Why It Matters
Informed Decision-Making
With so many providers to choose from, Miya feels overwhelmed. However, she breathes a sigh of relief when she discovers that she can browse member-submitted reviews for in-network providers.
Thanks to the Ratings and Reviews API, her health plan’s portal conveniently lists ratings and reviews, making her decision much easier. This API lets her query ratings and reviews for specific in-network providers, ensuring she selects a provider who is highly rated by other patients for knee replacement surgeries. This functionality helps Miya make a well-informed decision, giving her peace of mind about her father’s care.
Use Case Featured APIs
- Ratings and Reviews
Zelis APIs
Enhanced Member Support
The Ratings and Reviews API not only helps members like Miya but also supports health plan concierge team members. For instance, a concierge team member can assist a member by confirming that a provider is highly rated, especially when the procedures for this provider are less expensive than others.
By leveraging the Ratings and Reviews API, health plans can offer a more transparent and trustworthy healthcare experience, empowering members like Miya and her family to choose providers that fit their needs.
Unlock Provider Insights
Access valuable insights with the Ratings and Reviews API, which allows seamless retrieval of comprehensive provider reviews and ratings from real users.
Zelis enables users
We are more than just provider directory experts. 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 APIs
Featured Products
Ratings and Reviews
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.
