ZERO.health

Name

ZERO.health

Legal name

The Zero Card, Inc.

Website

https://zero.health

Company type

Private

Founded year

2016

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Healthcare Benefits / Bundled-Payment Marketplace

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Health and Welfare Funds (525120)

SIC

Hospital & Medical Service Plans (6324)

akta.pro industry

PRIMARYHLAEAAAC

Self-Funded (ERISA) Employer Plans

Healthcare & Life Sciences/Health Insurance & Managed Care/Commercial (Employer-Sponsored) Health Insurance

SECONDARYFSAIAFAB

Self-Funded (ASO) Group Health Plans & Stop-Loss

Financial & Insurance/Insurance — Life & Health/Group Health Insurance (Employer-Sponsored)

Keywords

• Bundled payment marketplace
• Self-funded employer benefits
• Healthcare cost containment
• Direct provider contracting
• Zero out-of-pocket healthcare

Headquarters

HQ city

Tulsa

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Technology or R&D, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Transaction Fee from Employers: ZERO charges employers a transparent transaction fee every time a payment is processed for care delivered to plan members. There are no setup costs, no PEPM (per employee per month) fees, and no hidden fees. Example provided: For a surgical procedure priced at $19,130 (compared to $31,554 legacy pricing), the transaction fee is $3,826, resulting in total employer payment of $22,956—saving employers 27% over legacy pricing.
2. Bundled Payment Administration: ZERO operates a bundled-payment marketplace where providers offer thousands of procedures at costs far below typical allowed amounts. ZERO administers these payments and earns a transaction fee on each processed payment, while delivering savings of approximately 44% on average (as high as 50%) for self-funded employers.

Pricing tiers

Go-to-market motion3 records

Distribution channels4 records

Marketing channels5 records

Core offering

ZERO.health operates a bundled-payment healthcare marketplace that enables self-funded employers to offer their employees $0 out-of-pocket access to covered medical services (surgeries, imaging, physical therapy, labs, and more) through direct contracts with healthcare providers. The company charges employers a transparent per-transaction fee on each care payment processed, with no setup costs or PEPM fees, delivering average employer savings of 44% (up to 50%). Members receive a ZERO Card and a dedicated Personal Health Assistant, while providers access the goZERO portal for referrals, eligibility checks, and claims submission.

Product overview

ZERO.health is a healthcare benefits platform offering a bundled-payment marketplace for self-funded employers. The core offering is the ZERO Card benefit, which enables plan members to access covered healthcare services (including surgeries, imaging, physical therapy, labs, and more) for $0 out-of-pocket. The platform consists of: the ZERO Card (the member-facing health benefit), Personal Health Assistant concierge services, the my.zero.health member portal, the goZERO provider portal, a ZERO Employer Platform with reporting and savings analytics for self-funded employers, a ZERO ROI Calculator tool, and a ZERO Advisor Program for benefits consultants. The platform operates on a transparent transaction fee model with no PEPM, no setup costs, and delivers average employer savings of 44%.

Differentiator

Problem solved

Functional benefit

Brands

• ZERO Card: A healthcare benefit card providing members with $0 out-of-pocket healthcare coverage for surgeries, imaging, physical therapy, and other scheduled care through direct contracts with providers.
• myZERO
• goZERO

Products and services

• ZERO Card Primary health benefit card for plan members enabling $0 out-of-pocket access to covered healthcare services including surgeries, imaging, physical therapy, labs, colonoscopies, and hernia repair, supported by a Personal Health Assistant who helps find providers and navigate care.
• Personal Health Assistant (PHA) Dedicated human concierge service for plan members, reachable by phone, chat, or email, who matches members with providers, supports them throughout their care journey, and resolves billing complexities.
• ZERO Employer Platform Bundled-payment marketplace and technology platform for self-funded employers, providing transparent transaction fees, utilization reporting, and savings analytics with average employer savings of 44% (up to 50%).
• myZERO Member Portal Member self-service web portal at my.zero.health where members access their digital ZERO ID card, download member materials, view benefits information, and manage their healthcare access.
• goZERO Provider Portal Provider-facing web application at go.zero.health for managing patient referrals from ZERO, checking member eligibility, submitting 837 claims, paper claims, invoices, or superbills, and tracking payments.
• ZERO ROI Calculator Online calculator tool for self-funded employers to estimate potential savings from implementing ZERO in their healthcare plan.
• ZERO Advisor Program Partnership program for benefits consultants and advisors to offer ZERO as a healthcare cost-reduction solution to their self-funded employer clients outside of open enrollment periods.

Quantifiable outcome

• Average employer savings of 44%, with savings as high as 50% compared to legacy pricing
• +4 more outcomes

Named customers6 records

Segments4 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration2 records

Feature4 records

Partnerships

Five partnerships are on record, tiered core.

• Quest DiagnosticscoreStrategic or Co-development PartnerQuest Diagnostics serves as ZERO's primary laboratory partner for lab services. Members use their ZERO Card at Quest facilities for blood work and other lab tests. Members can present their physical card or digital copy from my.zero.health at Quest locations. Results are sent back to the prescribing doctor.
• Smart Data SolutionscoreTechnology or IntegrationSmart Data Solutions is ZERO's clearinghouse partner for electronic claims processing. ZERO's Payer ID is 75296, and providers submit 837 claims through Smart Data Solutions' clearinghouse infrastructure.
• Tulsa Bone & JointcoreStrategic or Co-development PartnerOrthopedic and physical therapy provider serving ZERO members in the Tulsa area. Provider focuses on helping patients move their lives forward and has found ZERO to be a natural fit for their patient-first philosophy.
• Rockford Ambulatory Surgery CentercoreStrategic or Co-development PartnerAmbulatory surgery center providing outpatient surgical and pain management services for ZERO members. Focuses on providing highest quality services for best value to patients and the community.
• Premier Orthopedic Specialists of TulsacoreStrategic or Co-development PartnerOrthopedic specialty practice providing musculoskeletal care to ZERO members. Specializes in patient-centered, high-quality, efficient, and cost-effective orthopedic care in partnership with ZERO.

Scale indicators5 records

Recent moves6 records

Expansion highlights3 records

Emerging players

• Vori Health: Vori Health is a musculoskeletal-focused virtual and in-person care provider serving self-funded employers — overlapping with ZERO's orthopedic and PT service categories.
• Hinge Health: Hinge Health is a digital musculoskeletal care platform that overlaps with ZERO's orthopedic and physical therapy categories and competes for the same employer MSK spend.
• Sidecar Health: Sidecar Health offers a consumer-facing, transparent-pricing health plan model that overlaps with ZERO's mission of eliminating member out-of-pocket costs and exposing provider pricing.

Direct peers

• Centivo: Centivo is a health plan administrator purpose-built for self-funded employers, providing transparent plan designs and curated provider networks — overlapping with ZERO's self-funded employer target customer.
• Carrum Health: Carrum Health is a bundled-payment marketplace that connects self-funded employers with curated provider networks for surgical and procedural care, with a transaction-fee model closely aligned to ZERO's approach.
• Lantern: Lantern operates a specialty care marketplace offering bundled pricing for surgery, cancer care, and related procedures to self-funded employers — directly comparable to ZERO's bundled-payment model.

Broad incumbents

• HealthComp: HealthComp is a third-party administrator focused on self-funded employer health plans, providing claims, network, and analytics services that compete with aspects of ZERO's platform offering.
• Collective Health: Collective Health is a larger, well-capitalized technology platform administering self-funded employer health benefits. It competes for the same employer buyer with a broader benefit-management offering.
• Surgery Partners: Surgery Partners is a large operator of ambulatory surgery centers that partners with bundled-payment programs. It represents a potential supply-side partner and competitor in the surgical bundles space.
• Surest (UnitedHealth Group): Surest is UnitedHealth's transparent, copay-free health plan for employer-sponsored coverage, representing a large incumbent competitor pursuing a similar $0-copay member experience for self-funded employers.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/zero_card

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ZERO.health