Founded Year

2016

Stage

Unattributed | Alive

Total Raised

$20.46M

Last Raised

$20.46M | 2 yrs ago

Mosaic Score

+50 points in the past 30 days

What is a Mosaic Score?
The Mosaic Score is an algorithm that measures the overall financial health and market potential of private companies.

About Zelis Healthcare

Zelis Healthcare is a healthcare information technology company and provider of end-to-end healthcare claims cost management and payments solutions including network solutions, claims integrity and electronic payments serving healthcare payer clients, healthcare providers and healthcare consumers in the medical, dental and workers' compensation markets nationwide.

Zelis Healthcare Headquarter Location

2 Crossroads Drive

Bedminster, New Jersey, 07921,

United States

888-311-3505

Zelis Healthcare's Product Videos

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Zelis Healthcare's Products & Differentiation

See Zelis Healthcare's products and how their products differentiate from alternatives and competitors

  • Zelis Network and Out-of-Network Solutions (part of Zelis’ Claims Cost Solutions)

    Tailored network design and access to 3M+ Medical, Dental and Workers’ Comp providers. With more than two decades of network development and market experience, we help payers deliver the networks their members and clients need. For OON claims, Zelis dynamically routes claims to the optimal channel to balance savings and risk: ○ Market-based pricing ○ Negotiations and claim settlement ○ Specialty networks ○ Compliance solutions Zelis’ solutions are enhanced to address No Surprises Act and Transparency requirements while improving members’ experience, maximizing savings and minimizing provider inquiries. Zelis provides expert legislative guidance so plans stay ahead of pending regulations. For more NSA information, visit: https://www2.zelis.com/sbb.

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Expert Collections containing Zelis Healthcare

Expert Collections are analyst-curated lists that highlight the companies you need to know in the most important technology spaces.

Zelis Healthcare is included in 5 Expert Collections, including Payments.

P

Payments

1,949 items

Companies and startups in this collection enable consumers, businesses, and governments to pay each other - online and at the physical point-of-sale.

H

Health IT

2,617 items

Companies partnering with healthcare stakeholders to improve operational efficiency across payment, supply chain, data mgmt, and more.

F

Fintech

7,344 items

US-based companies

D

Dental Health

957 items

Companies delivering dental care products and services. Excludes practice networks.

D

Digital Health

12,800 items

Technologies, platforms, and systems that engage consumers for lifestyle, wellness, or health-related purposes; capture, store, or transmit health data; and/or support life science and clinical operations. (DiME, DTA, HealthXL, & NODE.Health)

Latest Zelis Healthcare News

Marpai Health Announces Key Leadership Appointments

Apr 8, 2021

Marpai welcomes industry veterans Ronnie Brown and Art Hoath to Leadership Team Download Ronnie Brown, Chief Operating Officer (Photo: Business Wire) April 08, 2021 08:00 AM Eastern Daylight Time TAMPA, Fla.--( BUSINESS WIRE )--Marpai Health, a SMART health plan services company providing AI-powered third-party administration to self-insured employers, today announced two key appointments to its leadership team. Ronnie Brown has been named Chief Operating Officer, transitioning from her role as senior advisor at Marpai Health. Art Hoath joins Marpai as the company’s Chief Revenue Officer. Both appointments are effective immediately. Ms. Brown is an industry veteran bringing over 30 years of experience in the self-funded health care market, and deep expertise in third-party administration of self-funded plans. Ronnie is a healthcare and employee benefits professional with diverse experience in healthcare operations, benefit plan administration, cost containment, health care analytics, medical stop loss and electronic provider payments. Before Marpai, she was Vice President of Client Services at Inetico (currently Valenz Health), Chief Operating Officer at Zelis Healthcare (formerly Pay Plus Solutions) Chief Operating Officer at First Services Administrators, Inc. a Lakeland, FL based TPA, and Regional Vice President of Self-Insured Benefit Administrators, a Clearwater, FL based TPA. Across her career, Ronnie has led QA, IT and related support units and provided best in breed products and services to TPAs, self-administered and self-funded employers, carriers, brokers, and ancillary vendors. A frequent industry speaker, she was the past national Chairperson of the Society of Professional Benefit Administrators and has been a presenter at the Self Insurance Institute of America conferences. “We are thrilled to have such a renowned expert and well-respected member of the industry as our Chief Operating Officer,” stated Edmundo Gonzalez, CEO of Marpai Health. “Ronnie’s leadership and experience in the self-insurance and TPA industries are widely known and valued; her deep and broad expertise across the many facets of the business are critical as we launch deep learning and the first SMART Health Plan Services System into the self-insured market.” Art Hoath is a proven sales and marketing leader with extensive experience leading business development efforts over 24 years in a number of different healthcare sectors including healthcare cost management, payor management and specialty managed care. He has been very active in industry conferences such as HCAA, SIIA and SPBA. Most recently, Art was SVP of Sales and Marketing at AMPS (Advanced Medical Pricing Solutions) where he managed strategic sales and marketing for next generation medical claims solutions for payors, brokers and employers. Prior to AMPS, Art was EVP of business development at Inetico (currently Valenz) and EVP of Sales and Marketing at Zelis Healthcare (formerly Pay Plus Solutions) “Art is a business accelerator who brings a deep understanding of the industry and where it is heading, which is essential for our Chief Revenue Officer role,” said Gonzalez. “As we introduce the benefits of deep learning across the industry, Art’s leadership will be instrumental in helping diverse groups adopt our SMART technology and grow from it.” About Marpai Health Marpai Health is a leader in deep learning, the most advanced artificial intelligence, and brings the first SMART Health Plan Services System to self-insured companies and their employees to improve health outcomes and reduce healthcare costs. Marpai delivers a member-centric health plan administration experience powered by deep learning and SMART automation that makes it easy for members, employers and providers to improve outcomes and save money in new ways. With deep learning, Marpai helps patients get ahead of future health risks, avoid costly procedures and access top quality care; employers reduce healthcare, reinsurance and administration costs; and providers meet changing patient demands with less administration. Marpai uses deep learning capabilities to conquer the complex challenges standing in the way of better outcomes and lower costs, and to fuel the new consumer-driven healthcare world. For more information, please visit marpaihealth.com. Contacts

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  • When was Zelis Healthcare founded?

    Zelis Healthcare was founded in 2016.

  • Where is Zelis Healthcare's headquarters?

    Zelis Healthcare's headquarters is located at 2 Crossroads Drive, Bedminster.

  • What is Zelis Healthcare's latest funding round?

    Zelis Healthcare's latest funding round is Unattributed.

  • How much did Zelis Healthcare raise?

    Zelis Healthcare raised a total of $20.46M.

  • Who are the investors of Zelis Healthcare?

    Investors of Zelis Healthcare include Utah Angels.

  • Who are Zelis Healthcare's competitors?

    Competitors of Zelis Healthcare include Clarify Health and 7 more.

  • What products does Zelis Healthcare offer?

    Zelis Healthcare's products include Zelis Network and Out-of-Network Solutions (part of Zelis’ Claims Cost Solutions) and 4 more.

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