List of Zelis Payment Integrity Customers
Bedminster, 7921, NJ,
United States
Since 2010, our global team of researchers has been studying Zelis Payment Integrity customers around the world, aggregating massive amounts of data points that form the basis of our forecast assumptions and perhaps the rise and fall of certain vendors and their products on a quarterly basis.
Each quarter our research team identifies companies that have purchased Zelis Payment Integrity for Payment Integrity from public (Press Releases, Customer References, Testimonials, Case Studies and Success Stories) and proprietary sources, including the customer size, industry, location, implementation status, partner involvement, LOB Key Stakeholders and related IT decision-makers contact details.
Companies using Zelis Payment Integrity for Payment Integrity include: Cigna Healthcare, a United States based Insurance organisation with 71295 employees and revenues of $244.38 billion, Banner Health, a United States based Healthcare organisation with 55000 employees and revenues of $15.60 billion, CareFirst BCBS, a United States based Insurance organisation with 9000 employees and revenues of $12.40 billion, Adventist Health, a United States based Healthcare organisation with 28600 employees and revenues of $6.30 billion, Regence BlueShield, a United States based Insurance organisation with 3500 employees and revenues of $2.60 billion and many others.
Contact us if you need a completed and verified list of companies using Zelis Payment Integrity, including the breakdown by industry (21 Verticals), Geography (Region, Country, State, City), Company Size (Revenue, Employees, Asset) and related IT Decision Makers, Key Stakeholders, business and technology executives responsible for the software purchases.
The Zelis Payment Integrity customer wins are being incorporated in our Enterprise Applications Buyer Insight and Technographics Customer Database which has over 100 data fields that detail company usage of software systems and their digital transformation initiatives. Apps Run The World wants to become your No. 1 technographic data source!
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| Logo | Customer | Industry | Empl. | Revenue | Country | Vendor | Application | Category | When | SI | Insight |
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1199Seiu Funds | Non Profit | 1200 | $2.2B | United States | Zelis Healthcare | Zelis Payment Integrity | Payment Integrity | 2021 | n/a |
In 2021, 1199Seiu Funds deployed Zelis Payment Integrity, a Payment Integrity application, to support benefits payment oversight and claims integrity work across the organization’s health benefits operations. The implementation positioned Zelis Payment Integrity to provide centralized payment review and orchestration capabilities aligned with the fund’s payer-adjacent responsibilities and benefits administration workflows.
The deployment implemented Zelis Payment Integrity modules typical for this category, including claim-level analytics, rule-based pre-payment edits, post-payment recovery workflows, and structured clinical review processing. Configuration emphasized exception scoring, standardized rule sets, and automated routing to ensure consistent adjudication checks and to surface payments requiring clinical or audit intervention.
Operational coverage focused on claims processing and payment oversight functions, supporting benefits administration teams and finance units responsible for provider payments. The solution was instrumented to operate within existing payment flows and provider payment pathways, enabling orchestration of payment decisioning and exception handling as part of routine claims operations.
Governance work established edit governance, clinical review protocols, and workflow routing for escalations and provider outreach, codifying roles across clinical, audit, and finance stakeholders. Rollout activities concentrated on operationalizing policy-driven rules, audit trail instrumentation, and workflow standardization to support ongoing payment integrity management with Zelis Payment Integrity.
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ACS Benefit Services | Insurance | 100 | $35M | United States | Zelis Healthcare | Zelis Payment Integrity | Payment Integrity | 2022 | n/a |
In 2022, ACS Benefit Services implemented Zelis Payment Integrity, a Payment Integrity application. The engagement is recorded publicly as a Zelis customer and was scoped for an insurance administration firm with approximately 100 employees. Zelis Payment Integrity was configured to enforce automated claims editing and rules based payment validation, and to support audit and recovery workflows typical of Payment Integrity deployments. The implementation included configuration of rule libraries, exception routing and case management capabilities, and setup of audit trails and role based access controls to align with claims operations and finance functions. Operational coverage focused on embedding the Zelis Payment Integrity application into claims review and payment orchestration processes, with governance that established exception management ownership and workflow stewardship inside claims operations and finance. The implementation narrative emphasizes structured configuration of adjudication support modules and recovery case workflows rather than specific third party integrations or measurable outcomes.
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Adventist Health | Healthcare | 28600 | $6.3B | United States | Zelis Healthcare | Zelis Payment Integrity | Payment Integrity | 2022 | n/a |
In 2022, Adventist Health deployed Zelis Payment Integrity as a Payment Integrity solution. The Zelis Payment Integrity implementation is surfaced on Adventist Health's employee health plan provider website, where it is used to present payment review findings and provider-facing documentation for the employee health plan.
The deployment is configured to execute core Payment Integrity workflows aligned with the category, including automated claim screening, rule-based payment review orchestration, adjudication routing, and provider reimbursement validation. Zelis Payment Integrity is used to programmatically flag payment exceptions and stage cases for human review within the portal experience.
Operational responsibility is centered on the employee health plan and benefits administration teams, with provider relations and claims operations consuming portal outputs for follow up. Integrations are implemented through the provider-facing website and connect to internal claims processing and payment engines via standard interfaces to exchange adjudication status and payment exceptions. Governance and workflow control emphasize centralized review procedures and portal-based adjudication routing to enforce consistent payment integrity processes.
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Insurance | 700 | $295M | United States | Zelis Healthcare | Zelis Payment Integrity | Payment Integrity | 2020 | n/a |
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Healthcare | 50 | $11M | United States | Zelis Healthcare | Zelis Payment Integrity | Payment Integrity | 2022 | n/a |
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Insurance | 100 | $80M | United States | Zelis Healthcare | Zelis Payment Integrity | Payment Integrity | 2021 | n/a |
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Insurance | 140 | $25M | United States | Zelis Healthcare | Zelis Payment Integrity | Payment Integrity | 2020 | n/a |
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Healthcare | 55000 | $15.6B | United States | Zelis Healthcare | Zelis Payment Integrity | Payment Integrity | 2020 | n/a |
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Insurance | 100 | $70M | United States | Zelis Healthcare | Zelis Payment Integrity | Payment Integrity | 2021 | n/a |
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Insurance | 9000 | $12.4B | United States | Zelis Healthcare | Zelis Payment Integrity | Payment Integrity | 2021 | n/a |
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Buyer Intent: Companies Evaluating Zelis Payment Integrity
- PJT Partners Inc., a United States based Banking and Financial Services organization with 833 Employees
Discover Software Buyers actively Evaluating Enterprise Applications
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