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TPA consolidates communications to improve member satisfaction and savings.

The Challenge

A third-party administrator was looking to simplify an array of costly and confusing member communications.

The Solution

With Zelis Claims Communications, they consolidated to episodic EOBs, improving their member experience and reducing operational costs by 46%.

+ 46 %
Operational Cost Savings
+ 33 %
Communication Consolidation

3 x
Member Satisfaction

A deeper look

Large Midwestern TPA reduces operational costs and improves satisfaction by using episodic EOBs

The Challenge

Faced with obstacles with frequent communications and low electronic adoption.

This TPA experienced high costs associated with transactional member communications. They also required multiple delivery channels for electronic payments to providers, adding to their large operational spend. They needed a more efficient way to communicate with their members. They were looking for a partner who could optimize their processes and drive electronic adoption.

The Solution

Implemented Episodic EOBs®, significantly lowering costs.

By choosing Zelis, this TPA improved their member communications and lowered costs. They reduced overall spend by 46%, enabling them to stabilize their revenue. Episodic EOBs® coupled with Zelis’ payments options increased electronic adoption by 52%. By optimizing their communications, the TPA gained operational flexibility and enhanced the member experience.