Member Experience
This feature gives members the ability to create their own shortlist of clinicians they trust.
What is Care Team (Saved Providers)?
This is a single, cleaned, normalized copy of the platform’s underlying provider and network data so your team can run, reproduce, and embed Network360-grade analysis anywhere, without being limited to the UI.
What is a complete data extract?
This option measures whether a network provides timely, geographically appropriate access to care.
What is Accessibility?
This capability helps calculate driving distance when searching for a provider.
What is Geolocation?
This solution brings real-time integrated referral guidance at the point of care.
What is Provider Referral Guidance/EHR Integration?
This provider search enhancement lets members search using symptoms, conditions, or everyday language.
What is Conversational/Natural Language Search?
This provider platform enhancement adds richer provider details, including location, specialty, and contact information
What is Enhanced Provider Demographics?
This data analytics platform that leverages provider and competitor data to give a holistic, tailored view of a provider network
What is Network 360?
This public site lets clients view and assortment of Zelis solutions, such as the Digital Health ID Pass.
What is the Zelis API Marketplace?
This third-party financing partner is embedded to support flexible copay payment options.
What is Paytient?
This allows the member to access all of their benefit plan information in one place, such as find providers, compare costs, access ID cards, review claims and plan documents.
What is Zelis Mobile Member Connect?
This new search capability lets members look for care using cost-related intent, like “cheapest x-ray near me.”
What is Cost-Aware Provider Search?
This capability models the impact of providers going in or out of network.
What is Disruption?
This incentive program focuses on redirection to providers based on identified provider data attributes.
What is Enhanced Guidance?
This new solution gives members real-time copay clarity so they can shop smart, save more, and pay with confidence.
What is Alternative Health Plan (AHP)?
This reward type let's members add funds to their mobile wallet (Apple or Google Pay).
What are Dash digital gift cards?
This capability configures rules based on member attributes and supports engagement analytics.
What are Analytics & Personalized Engagement Rules?
This MA-only option helps plans assess whether they have sufficient provider volume by geography.
What is Adequacy?
This roadmap item uses AI and trusted data sources to improve provider demographic accuracy, initially focusing on location, specialty, and contact information.
What is Provider Demographic Confidence Scoring?
This in-progress release improves search accuracy and aligns provider data more closely with carrier directories.
What is Provider Nexus v11?
This streamlined member experience brings provider recommendations, cost comparisons, rewards information, and support into a single digital flow so members can quickly choose high-quality, lower-cost care.
What is one-click shopping?
This Provider Nexus v11 enhancement includes telehealth, gender-affirming care, and improved facility search capabilities.
What is Enhanced Filtering?
This standards-based API helps applications access and share healthcare data using formats like JSON and REST.
What is FHIR Interoperability API?
This is required to enable provider search functionality for Zelis Mobile Member Connect.
What is the ProviderNexus API?
This solution, powered by Zelis Reference Specialty, standardizes specialty definitions for network comparisons.
What is TrueCompare?