List of Zelis Payment Integrity Customers
Zelis
2 Crossroads Dr,
Bedminster, 7921, NJ,
United States
Bedminster, 7921, NJ,
United States
1 888-311-3505
Professional Services
2500
$500M
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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AmeriBen | Insurance | 700 | $295M | United States | Zelis Healthcare | Zelis Payment Integrity | Payment Integrity | 2020 | n/a |
In 2020, AmeriBen implemented Zelis Payment Integrity to centralize Payment Integrity across claims adjudication, revenue assurance, and cost management. AmeriBen implemented Zelis Payment Integrity in 2020 to provide a single vendor solution that could scale across its product portfolio and support rapid regulatory response.
The deployment emphasized functional modules including Claims Editing, Out-of-Network Solutions, Hospital Bill Review, the Medicare Pricing Solution with explicit coverage for dialysis treatment, and a No Surprises Act solution. Zelis Payment Integrity was configured to drive automated claims review and hospital bill adjudication workflows, and to apply Medicare pricing logic where appropriate to influence reimbursement outcomes.
Operational coverage extended across AmeriBen product offerings and client engagements, with a focus on maintaining member experience while enforcing cost controls. The Zelis implementation was used to operationalize responses to the No Surprises Act and the Transparency in Coverage Rule, aligning payment integrity processes with emerging regulatory requirements and client service expectations.
Governance shifted toward a compliance driven workflow, leveraging Zelis legislative and regulatory expertise to accelerate readiness when new rules were announced. AmeriBen established oversight and operational processes with Zelis to ensure timely application of pricing rules and to preserve member communications and adjudication consistency during rapid policy change.
Results cited from the partnership include a 36% increase in gross savings from 2020 to 2021, 727M in client savings in 2021, and 29% of savings related to dialysis coverage, supported by a 25 year partnership history. The AmeriBen Zelis Payment Integrity deployment demonstrates how a Payment Integrity application can be applied to claims operations, compliance functions, and client cost management.
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AmeriBest Home Care | Healthcare | 50 | $11M | United States | Zelis Healthcare | Zelis Payment Integrity | Payment Integrity | 2022 | n/a |
In 2022, AmeriBest Home Care implemented Zelis Payment Integrity to address Payment Integrity within its revenue cycle and billing functions. The deployment for the 50 person provider was positioned to deliver Zelis Payment Integrity capabilities directly into claims handling workflows, with the full application name Zelis Payment Integrity referenced in operational documentation and user training.
The implementation focused on core Payment Integrity functional modules common to the category, including claims analytics for abuse and error pattern detection, configurable pre-payment edits and rules, post-payment review and recovery workflows, and rule management for ongoing claim adjudication. Configuration emphasized workflow automation for claims review queues and adjudication decisioning, aligned to the small provider operational model.
Operational ownership centered on billing, coding, and revenue cycle teams, with governance instituted around claims review, audit trails, and appeals processing to standardize exception handling. Rollout and user enablement prioritized practical process changes to day to day claims processing, and the deployment narrative identifies AmeriBest Home Care Zelis Payment Integrity Payment Integrity as the system of record for payment integrity activities.
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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
ARTW Buyer Intent uncovers actionable customer signals, identifying software buyers actively evaluating Zelis Payment Integrity. Gain ongoing access to real-time prospects and uncover hidden opportunities. Companies Actively Evaluating Zelis Payment Integrity for Payment Integrity include:
- Arthur J. Gallagher, a United States based Insurance organization with 51261 Employees
- Atwal Laser Center, a United States based Healthcare company with 10 Employees
- OnPoint Analytics, a United States based Professional Services organization with 90 Employees
Discover Software Buyers actively Evaluating Enterprise Applications
| Logo | Company | Industry | Employees | Revenue | Country | Evaluated |
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Arthur J. Gallagher | Insurance | 51261 | $10.1B | United States | 2026-04-02 |
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Atwal Laser Center | Healthcare | 10 | $1M | United States | 2026-03-26 |
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OnPoint Analytics | Professional Services | 90 | $10M | United States | 2026-03-25 |
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Healthcare | 56000 | $6.9B | United States | 2026-03-17 |
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Banking and Financial Services | 833 | $994M | United States | 2025-07-15 |
FAQ - APPS RUN THE WORLD Zelis Payment Integrity Coverage
Zelis Payment Integrity is a Payment Integrity solution from Zelis Healthcare.
Companies worldwide use Zelis Payment Integrity, from small firms to large enterprises across 21+ industries.
Organizations such as Cigna Healthcare, Banner Health, CareFirst BCBS, Adventist Health and Regence BlueShield are recorded users of
Zelis Payment Integrity for Payment Integrity.
Companies using Zelis Payment Integrity are most concentrated in Insurance and Healthcare, with adoption spanning over 21 industries.
Companies using Zelis Payment Integrity are most concentrated in United States, with adoption tracked across 195 countries worldwide. This global distribution highlights the popularity of Zelis Payment Integrity across Americas, EMEA, and APAC.
Companies using Zelis Payment Integrity range from small businesses with 0-100 employees - 20.83%, to mid-sized firms with 101-1,000 employees - 50%, large organizations with 1,001-10,000 employees - 16.67%, and global enterprises with 10,000+ employees - 12.5%.
Customers of Zelis Payment Integrity include firms across all revenue levels — from $0-100M, to $101M-$1B, $1B-$10B, and $10B+ global corporations.
Contact APPS RUN THE WORLD to access the full verified Zelis Payment Integrity customer database with detailed Firmographics such as industry, geography, revenue, and employee breakdowns as well as key decision makers in charge of Payment Integrity.