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Take the next step in your digital transformation of the healthcare financial experience.
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.Â
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.Â
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.Â
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
Navigating 2023: A Year of Integration, Innovation, and Ease in Healthcare Solutions
Zelis CEO recapping the healthcare solutions of 2023 and discussing the strategies shaping an accessible, innovative, and efficient future in the year ahead.
View resourceBlog
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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Blending Human Expertise and Technology to Improve Claims Negotiations
Find out why advanced technology and real-life experts are both needed for successful claims negotiations.
View resourceAnalyst Report
2024 SmartShopper Performance & Savings Report
The latest consumer trends in healthcare, the most shopped procedures, and how much SmartShopper is helping them save.
View resourceBlog
Five Strategies to Reduce Provider Abrasion Within Your Payment Integrity ProgramsÂ
Zelis Chief Medical Officer Dr. Timothy Garrett shares key strategies to help reduce provider abrasion within payment integrity.
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How Human and Artificial Intelligence Can Streamline Claims Reviews
Artificial intelligence is essential as high-cost in-network claims rise. But how do expert clinicians play a role in claims review?
View resourceWhite Papers
Seven Strategies to Boost Star Ratings
Health plans can leverage these easy strategies to encourage engagement among members and help boost their star rating.
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Making Strides Towards Healthcare Affordability: Insights from our Reference-Based Pricing (RBP) Survey
Reference-based pricing is a promising solution to overcome rising healthcare costs. But are brokers and TPAs using it to its full potential?
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