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Build the connections that optimize every payment.
Streamline, balance and clarify the entire payments process.
We believe the key lies in creating stronger connections between you, your providers, and your members – and we’re building the technology and processes that are making it happen.
By addressing the most abrasive aspects of the payments process, we’re purposefully evolving your existing process to help you reduce friction and control the rising cost of care.
Ensure the accuracy of every payment
Balance risk and financial performance
Analyze and optimize network performance
Develop primary, secondary, wrap and specialty networks
Comply with new and changing regulations (No Surprises Act)
Clarify member enrollment and claims communications
Solutions for Health Plans
Here’s how we help improve your operational efficiency:
Ensure accurate payments with in-depth clinical and financial reviews prior to processing.
Identify and correct coding errors before payments are processed.
Achieve appropriate claims costs using integrated technology, coding expertise and historical benchmarks.
Build a model pricing strategy that improves transparency, reduces provider abrasion and drives savings.
Learn more about our payment integrity and network solutions.
Build and optimize completive, accessible, and high value networks to win market share and meet your members’ needs.
Network Strategy, Maintenance and Sales
Track competitor activity and market opportunities to refine your network strategy, identify the best fit providers to maintain competitiveness, and communicate the strength of your network.
Learn more about our network solutions.
A BCBS plan saves $1.2M annually.
A BCBS plan reduced operational fulfilment costs and increased electronic communications delivery and provider satisfaction with Zelis Payments Optimization.
Zelis by the Numbers
Join us as we chart new ways to pay for care, with care.
in payments delivered annually
Take the Next Step
Make the right connections now to pay for care, with care.
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