Zelis
Zelis sells claims pricing and payment integrity services to health plans, TPAs and self-funded employer plans, including a reference-based pricing product that caps allowed amounts against public benchmarks instead of relying on network discounts. These capabilities are delivered through the Zelis Intelligent Pricing Platform, which combines payment integrity editing with claims pricing. Zelis sells primarily to payers and administrators rather than directly to employers, and now includes the former Payer Compass business.
- Minimum enrolled
- Not published
- Maximum enrolled
- No published maximum
- Availability
- All states
- Last updated
- 2026-09-08
Reference-based pricing details
- Medicare multiple
- Not published
- Balance-bill support
- Not published
- Network wrap
- No wrap (pure RBP)
- Full network replacement
- No
Contact
- www.zelis.com/
- 888.311.3505
- 149 Newbury Street, 5th Floor, Boston, MA 02116
As published by the vendor on 2026-09-08. Reply to your finder results email if you would rather we make the introduction.
Sources
- Zelis — Pricing solutions · accessed 2026-09-08
- payercompass.com redirecting to Zelis · accessed 2026-09-08
Data reflects what Zelis publishes as of 2026-09-08. Availability, minimums and terms change without notice. Verify with the vendor before binding.
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