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Zelis

Zelis Provider Nexus

Zelis Provider Nexus is a multi-payer provider directory with a search solution across data from multiple carriers.

Product Overview

Zelis Provider Nexus is a multi-payer provider directory with a search solution across data from multiple carriers. It features an API for custom search integration, automated API monitoring for data integrity, and the ability to standardize provider information according to business rules.

Customers Served

Digital Health Provider
Ambulatory Practice
Hospital / Health System
Health Plan
Employers

Company Info

Founded
1995
Employee Count
1001-5000
Total Funding
$20.1M
Latest Round
Private equity
Latest Round
01/05/2020

Company Socials

LinkedIn
Twitter
GitHub
YouTube
YouTube
GitHub

Reviews

Zelis Provider Nexus Transcript

Reviewed by Head of Product
Care Navigation
3.5/5
14 min readReviewed on: 08/24/2023
Summary:
  • Product Usage: The reviewer uses Zelis in their health insurance navigation company to identify in-network providers at various health plans and help customers understand their insurance plans.

  • Strengths: The main strengths of Zelis include direct access to data from insurance carriers, overall API reliability, and established relationships with many insurance carriers.

  • Weaknesses: Some weaknesses noted include outdated API structure, lack of transparency about data updates and availability, restrictions in API usage, and poor support service.

  • Overall Judgment: Despite some obstacles, the reviewer feels they made the correct choice due to Zelis unique data partnership capability and regards it as the best available option for their specific use case.

Other Products Considered:
Ribbon