No one sees whether reporting is complete
Two disconnected processes produce two partial views. No single team can say whether the insurer’s reporting is done.
Health Insurers
Report what you pay. Report what you cover.
From payments to hospitals, physicians, medical groups, and other providers to coverage for every insured member, Zenwork brings everything into a single process for preparation, validation, filing, furnishing, and corrections.
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$500B+Reported
75M+TIN checks
40+Form types
50 StatesNationwide coverage
16+ YearsOperating
Two reporting responsibilities, run as two separate problems
Payment reporting comes from finance, procurement, and accounts payable. Coverage reporting comes from enrollment and membership. Different owners, different data, different deadlines.
Provider records are fragmented across systems
Claims, provider management, procurement, AP, and finance each hold a different version of the provider’s legal name, TIN, and payment entity. Tax teams rebuild the reporting record by hand.
Coverage data changes all year
Enrollments, terminations, plan changes, dependent additions, and address updates accumulate month by month. Along with that, missing and unverified identification numbers pile up too.
Exceptions surface late, and status is hard to prove
As filing season nears, issues such as missing tax documents, name-TIN mismatches, and coverage gaps surface. This amplifies manifold as the insurer scales its business.
One process for both sides of the responsibility
Zenwork supports reporting for payments made to providers and health coverage provided to insured individuals. By managing both requirements through a single partner, insurers can avoid maintaining separate reporting workflows.
Reporting that holds together across the enterprise
Report what you pay providers
Collect tax documents, validate legal name and TIN, and bring payment data together across source systems and entities. Then run preparation, review, supported filing, delivery, and corrections.
Lakeview Medical GroupTIN ***-**-4821
Legal name & TINValidated
Tax documentCollected
Report what you cover for members
Enrollment and coverage data moves into a standardized process. Preparation, review, supported federal and state filing, and individual furnishing all run the same way.
Member coverage
Emily CarterPlan year 2026
Completeness reviewComplete
Individual furnishingFurnished
Exceptions handled on both sides
Affected records get separated from clean ones, so clean records keep moving. Rejections, supported corrections and delivery history stay with the record.
Northside ClinicContinues
Ridge PhysiciansReview
Member M-40388Continues
Every entity, every applicable state
Intake, validation, supported filing, furnishing, and corrections are standardized across legal entities, lines of business and applicable state requirements.
Health Plan Inc.Benefit Services LLC
Group coverageFederalState
Provider paymentsFederalState
Zenwork does not adjudicate medical claims or determine coverage eligibility. It makes the resulting payment and coverage records ready for applicable tax information reporting.
Federal coverage reporting isn’t the whole obligation
Some states impose their own coverage reporting requirements on insurers. Each comes with its own format, deadline, and submission route.
One workflow, not a separate state project
Applicable state coverage reporting runs through the same process as federal. The team doesn’t stand up a parallel project every year.
State requirements tracked alongside federal
State coverage requirements don’t always follow the federal calendar. Holding both in one workflow keeps the earliest obligation visible.
Controls that match how the insurer is governed
Multi-entity by default
Run reporting across legal entities and lines of business within a single structure, as status and permissions are set at the entity level.
Access separated by role
There are separate permissions for preparation, review, approval, and eFiling. User-level activity logs are maintained, so you know who did what.
Evidence stays with the record
Validation results, IRS acknowledgments, rejections, corrections, and furnishing are captured against the record. Answering audit questions becomes just a matter of retrieval of data.
Frequently asked questions
Does Zenwork adjudicate claims or determine coverage eligibility?
No. Zenwork takes the payment and coverage records your systems already produce and makes them ready for applicable tax information reporting. Claims adjudication and eligibility stay with your platforms.
Can Zenwork handle both provider payment reporting and member coverage reporting?
Yes. Both run through one process for preparation, validation, supported filing, furnishing and corrections. That is the point of the platform for insurers, rather than splitting the two across separate processes and vendors.
How does Zenwork handle provider data spread across claims, procurement and AP?
Payment data is brought together across source systems and insurance entities into one reporting record. Tax-document collection, IRS name–TIN matching and business verification validate the provider’s legal identity before filing.
What happens when coverage data changes during the year?
Zenwork conducts a data-completeness review ahead of the filing season. This ensures you can identify and rectify coverage data gaps on time.
Can we report across multiple insurance entities and states?
Yes. Zenwork standardizes intake, validation, supported filing, furnishing, and corrections. It does so across legal entities, lines of business, and applicable state requirements.
Report what you pay. Report what you cover. One process, start to finish.
Let’s map both sides of your reporting against the systems that produce them. We’ll show you where one process removes duplicated work.
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