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

Debunking Common RBP Misconceptions

Debunking Common Reference-Based Pricing (RBP) Misconceptions

While it may seem straight-forward, there are still quite a few misconceptions about RBP. Get the facts in our latest blog here.

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Blog

MRFs: The Trouble with (and Solution to) Some of Healthcare’s Biggest Cost Problems

MRFs: The Trouble with (and Solution to) Some of Healthcare’s Biggest Cost Problems

On their own, MRFs are difficult, if not impossible, to understand or use. That’s where Zelis Healthcare Insights 360 comes into play.

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News

Zelis Unlocks Power of Price Transparency Data to Control Rising Costs of Healthcare with Healthcare Insights 360

Zelis® Unlocks Power of Price Transparency Data to Control Rising Costs of Healthcare with Healthcare Insights 360℠

Healthcare Insights 360 delivers actionable insights into market rates and powers competitive networks for healthcare consumers. 

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Blog

Understanding Reference-Based Pricing (RBP)

Understanding Reference-Based Pricing (RBP)

As healthcare costs rise, RBP is positioned to become an increasingly popular alternative to traditional healthcare network models. 

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News

Zelis Open Access Pricing

Zelis Launches Reference-Based Pricing Solution that Prioritizes Members; Aligns Experience and Cost Containment 

Zelis® launches reference-based pricing solution that prioritizes members and aligns member experience and cost containment 

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Blog

Are IDR disputes really what’s holding you back from major savings?

With the CMS’ latest IDR regulations, you’re going to need a vendor who can do more than just “keep you out of disputes.”

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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.