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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.

Overview
Reviews

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

Categories

Company Info

HQ Location
Boston, MA
Founded
1995
Headcount
1001-5000
Total Funding
$20.1M
Latest Round
Private equity
Latest Round
01/05/2020

Company Socials

LinkedIn
X
Crunchbase
YouTube
Vimeo
GitHug

Reviews

See all (1)

View Product Page

3.5/5
14 min readReviewed on: 08/24/2023
Reviewer
Title: Head of Product
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  • Weaknesses: Some weaknesses noted include outdated API structure, lack of transparency about data updates and availability, restrictions in API usage, and poor support service.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.

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Company Info
Founded: 2016
Headcount: 51-200
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
2 Reviews
Security and Compliance Certifications: SOC 2 Type 2, SOC 2 Type 1, HIPAA
Ribbon Health offers a healthcare data platform that consolidates provider information, including location, insurance coverage, cost, quality, and experience, to improve care decision-making. It integrates with existing systems, offering automation and data management solutions to maintain accurate provider directories and support informed healthcare decisions.