Zelis for Providers

Scale and grow your practice with an independent partner who provides you access to more prospective patients and accelerates your claim payment process.

Join one or more of our networks, where you’ll gain access to healthcare consumers in your area who are shopping for care or enroll in our e-payments platform which enables you to manage over 350 payers in a single portal. Better yet, do both!

Provider Use Cases

Scale and grow your business while keeping costs low.

Do you have staff who process paper checks, spending time logging into disparate payer portals? Zelis gives you the power to do it all electronically, with easy 835 integration with your existing systems and claims platforms. Plus, you’ll have one place to match what was billed to what was paid from more than 350 payers. 

Explore use cases

Zelis clients get paid up to 16 days faster using ACH+ or virtual cards instead of paper checks, while also improving security and cash flow at every step. Our online portal will give your team 24/7 access to the status of every payment. No more searching data feeds for individual remits – it’s all in one, consolidated feed. 

Explore use cases

If you’re still accepting check payments from insurers, you are missing a key opportunity to reduce costs, accelerate your cash flow and improve security. In fact, Zelis dental clients get paid up to 16 days faster using ACH or virtual cards. Your online portal will give you and your team 24/7 access to the status of every payment – and our team is standing by whenever you have a question. 

Explore use cases

Key Points

  • Build direct connections with more than 350 payers in a single portal.
  • Settle payments directly, routing funds to a single or multiple TINs.
  • Get paid the way you want across your organization, routing funds to a single account.
  • Enable faster payments, enabling faster secondary filing and more accurate patient billing.
  • Extract remittances directly from adjudication for cleaner 835s.

Zelis Powers Providers

Partnering with over 1M healthcare providers.

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enrolled providers

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payments processed annually

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claims processed annually

Traditionally, handling payments manually required significant effort. The Zelis automated service has reduced this by 4x for our hospital business, and 6x for our physician business.

Top Resources for Providers

Blog

The Data Revolution: Coming to a Healthcare Industry Near You

The Data Revolution: Coming to a Healthcare Industry Near You

Amanda Eisel discusses the role each of us plays in advancing the healthcare industry and dives into the driving force behind it all: data.

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Blog

Healthcare payment trends 2024: Future-proof your plan

Payers face operational pressures on multiple fronts, from rising costs to provider burnout. Those that will succeed in 2024 must embrace digital payments transformation to future-proof their plan & foster provider trust.

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Blog

This year's Medicare star ratings decline are a wake-up call, but a few strategic steps can help health plans change the game.

Medicare Star Ratings Decline Opens the Door for New Opportunities in Member Satisfaction

This year’s Medicare star ratings decline is a wake-up call, but a few strategic steps can help health plans change the game.

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Blog

Don’t Count on a Second Take: Addressing Healthcare Business Risks before a Crisis

The 2023 banking crisis forced many healthcare companies to make fast decisions to protect finances. Here’s how to prevent a meltdown in the future.

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Legislative Highlights

CMS Releases Final Rule on Hospital Transparency Requirements

CMS Releases Final Rule on Hospital Transparency and MRF Requirements

Hospitals must meet new MRF transparency requirements. Take a look at what they are and what it could mean for you.

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Blog

Reduce fraud risk by modernizing healthcare payments

As healthcare volumes continue to climb, legacy payment processes create friction for providers and patients–and they look to payers to modernize these platforms.

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Blog

Healthcare Adjudication and Trends to “Watch”

Healthcare Adjudication and Trends to “Watch”

Discover the future of healthcare adjudication. Learn to embrace value-based care, data analytics, blockchain security, and AI automation.

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Related content for providers

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CEO Blog

Perspectives from our CEO

Read Amanda’s latest takes on the industry and our strategic initiatives.