dollar sign iconPayments for Payers

Zelis Healthcare’s payments solution delivers accurate, compliant electronic payments and data to providers while increasing efficiencies for payers.

Discover how easy it was for Allegiance companies to implement Zelis as part of their claims payment process and how Zelis’ integrated technology streamlines the reconciliation process for their finance department.


Efficiency & Cost Control

Through proprietary integration with leading core administrative systems, Zelis technology becomes a seamless part of your claims payment processes, significantly improving cost control through enhanced accuracy and reduced process complexity.

  • Reduced print and postage costs for checks and EOPs
  • No startup fees
  • End-to-end reconciliation- eliminates need for “out-of-system” balancing
  • Turn-key implementation/no workflow change
Thanks to the Zelis Payments integration with our claims adjudication system, the file exchange between our System and Zelis Payments is effortless. Since the initiation of our relationship with Zelis Payments we have attained operational savings.
Operations Manager, Third Party Administrator
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CAQH CORE® Compliance

Zelis is your total compliance solution. We deliver CORE Phase III compliance, assuring compliance with ACA and HIPAA regulations.

  • Compliant payment format (ACH/CCD+)
  • Delivery of the 835 /ACH within the mandated delivery sequence requirement
  • Compliant provider enrollment engine
  • Compliant 835 security wrappers

Accurate and Detailed Data & Reporting

Zelis’ integrated technology delivers precise, real-time payment data within your system, and extracts the detailed data required to create robust and accurate 835s for providers.

  • Supports Positive Pay
  • Clean, detailed and balanced 5010/835s
  • 24/7 real-time access to transaction data
  • Robust, automated reporting

 

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Learn how the quality of an 835 impacts the healthcare value chain--and why it matters to payers.

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Provider-Centric Service

Provider satisfaction is critical to growing a robust ePayment network. Zelis goes beyond the expected with its industry-leading, provider-centric enrollment and support model, which encourages electronic adoption and network retention.

  • Unique “opt-in” enrollment model
  • Choice of payment, data delivery and notification methods
  • Solutions that streamline reconciliation and re-association
  • World-class client service and EDI Support
  • Quality assurance and fraud prevention
  • Secure online portal for self-service
We had concerns about how providers would feel about receiving electronic payments and the service levels that they would receive. Those concerns were quickly overcome by Zelis Payments, because (adoption of e-payments) started easily and has grown quickly.
President, Third Party Administrator
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Learn how Zelis’ unique enrollment and service model helps clients increase provider ePayment adoption.

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