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Third-party administrator ACS Benefit Services needed to streamline operations and reduce costs for clients.

The Challenge

ACS Benefit Serivices was in need of flexible, client-centric solutions, specifically in the areas of bill review, editing, and claims auditing.

The Solution

After choosing Zelis as their external partner for healthcare bill reviews, edits, and audits, ACS has realized significant strides towards internal optimization and savings.

99 %
Accuracy rate in claims processing
$ 13 M
Gross savings from 2018 – 2021

90 %
Claim edits utilized

A deeper look

Streamlined operations to deliver better results and higher savings for clients

The Challenge

Faced obstacles with optimizing existing processes

Over a decade ago, third-party administrator ACS Benefit Services wanted to deliver better results for its clients, specifically in the areas of bill review, editing, and claims auditing. The ACS leadership team recognized that outsourcing would streamline operations and generate higher savings for clients.

However, the key challenge to successfully implementing this strategy had to be carefully considered before moving forward – which company could join forces with ACS to create the most seamless and effective partnership?

The Solution

Partnered with Zelis for more than 10 solutions

When they initially formed the partnership more than 10 years ago, one of the first solutions that ACS utilized was Zelis Claims Editing. From there, ACS has adopted more than 10 solutions with Zelis.

By choosing to add Zelis as their external partner for healthcare bill reviews, edits, and audits, ACS has converted more than 300,000 paper payments to electronic modalities and realized $13M in gross savings since 2018.