Zelis Healthcare

Zelis is a healthcare and financial technology company that specializes in claims cost management and payments optimization solutions. Founded in 2016 and based in Bedminster, New Jersey, Zelis provides integrated services such as network analytics, payment integrity, electronic payments, and claims communications. These offerings aim to streamline the pricing, payment, and explanation of healthcare claims for payers, healthcare providers, and consumers across medical, dental, and workers' compensation markets. By leveraging advanced technology, Zelis assists its clients in navigating the complexities of the healthcare financial landscape while ensuring compliance with evolving regulations. The company is supported by investment firms Parthenon Capital Partners and Bain Capital.

Amanda Eisel

CEO

Sean Smith

Co-Founder

5 past transactions

Redcard

Acquisition in 2019
RedCard Systems, LLC specializes in healthcare technology and business process outsourcing (BPO) solutions, focusing on data management and communication services. Founded in 2006 and based in Saint Louis, Missouri, the company offers a software-as-a-service platform called DOCS, which is recognized as the largest document processing platform in the healthcare sector. RedCard's offerings include document management, claims communication, enrollment materials, electronic payments, and the production of various healthcare documents such as checks and ID cards. The innovative design of the DOCS system allows for clear and effective communication, benefiting healthcare providers, payers, and members alike by enhancing the user experience and facilitating substantial cost savings. RedCard operates as a subsidiary of Zelis Healthcare Corp.

NetMinder

Acquisition in 2018
NetMinder specializes in providing a network comparison tool designed for medical, dental, vision, and behavioral health plan provider networks. The company's platform features an intuitive interface that allows users to generate detailed reports and analyses swiftly, facilitating improved decision-making for payers, brokers, and consultants. By offering easily shareable reports and the capability to quickly incorporate new competitors, NetMinder enhances the efficiency of sales teams and recruiters. This objective and validated source of provider network data enables clients to make informed employee benefit decisions, ultimately leading to increased recruitment of providers, more closed deals, and improved client retention.

Ethicare Advisors

Acquisition in 2017
EthiCare Advisors, Inc. is a medical claims settlement and cost containment company based in Succasunna, New Jersey, founded in 2002. As a subsidiary of Zelis Healthcare Corp., EthiCare specializes in assisting medical claim payers in managing costly claims, particularly those exceeding $100,000 and dialysis-related claims. The firm provides a range of consulting services that include negotiated sign-offs, medical bill reviews, and determination of usual and customary pricing. By focusing on high-dollar claims, EthiCare enables employers, labor funds, third-party administrators, and insurance carriers to enhance service delivery and improve overall performance. The company has received recognition as one of the fastest growing privately-held businesses in America, being a three-time honoree of the Inc. 500|5000 award.

Strenuus

Acquisition in 2017
Strenuus specializes in healthcare provider network analysis and data management, offering a comprehensive platform known as Network360. This platform provides actionable intelligence and market research services, primarily catering to payer clients across the nation. Strenuus maintains the largest dataset in the industry, aggregating data from various sources including commercial medical, dental, Medicare, Medicaid, and specialty lines. The company also supports consumer-facing solutions for benefit consultants and healthcare IT firms, featuring a unified provider search that enhances the decision-making process for health insurance companies and employers. Through its extensive data capabilities, Strenuus assists clients in evaluating network options, ultimately facilitating informed purchasing decisions related to healthcare.

Maverest Dental Network

Acquisition in 2017
Maverest Dental Network operates as an independent dental Preferred Provider Organization (PPO), connecting dentists with insurance companies, employers, and third-party administrators. This network facilitates access to dental care at moderate discounts, allowing dentists to expand their practices while promoting community oral health through affordable benefits. Additionally, Maverest Dental Network aims to reduce administrative costs associated with maintaining provider directories and fee schedules, streamlining operations for both dental providers and their partners.
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