ValueHealth Benefit Administrators Partners with Zelis to Modernize Processes

VHBA partnered with Zelis to improve services, modernize processes, increase client value, and streamline member experience.

The Challenge

ValueHealth Benefit Administrators (VHBA) needed a partner solution that gave them the flexibility to create customized solutions while still bringing value to clients.

The Solution

After partnering with the Zelis team, VHBA replaced its time-consuming manual editing processes with automated bill review and audit to ensure pre-payment claims accuracy. Later, they expanded into other Zelis solutions, including out-of-network solutions, pioneering electronic payment options, and the Zelis DOCS® platform.

A Deeper Dive

A 13-year innovative partnership that’s just getting started.

Providing affordable coverage for high-risk members.

Among several customized plans managed by VHBA are several state and federal plans that provide coverage for high-risk members with serious illnesses who can’t obtain insurance elsewhere.

To make affordable insurance available to these vulnerable member populations, VHBA collaborated with Zelis to develop cost-effective coverage plans and seek out new insurance networks.

Utilizing Bill Review, Claims Editing, Out-of-Network solutions, and other products, the partnership with Zelis has resulted in more than $21M in annual savings for VHBA.

“Our relationship with Zelis has given us the
flexibility to create customized solutions and bring
value to our clients. The solutions
and expertise that Zelis brings to the table, as well
as its team’s ability to develop ideas to improve
our processes, have created a mutually beneficial
relationship for both our companies.

The partnership with Zelis has resulted
in more than $21 million in annual
savings for VHBA.”

– Hilary Chapman, Operations Manager