New capability gives providers actionable intelligence to elevate revenue cycle efficiency
Boston, M.A. – July 22, 2025 – Zelis, a leading provider of healthcare technology solutions, today introduced Claims Insights, a first-of-its-kind capability built to help providers visualize and act on payments insights. It is powered by Rivet’s leading financial diagnostic and revenue acceleration platform, which empowers financial leaders with net revenue clarity for strategic management. As part of the enhanced Zelis Payments Network experience, this capability allows providers to gain visibility into their financial performance with insights from 550+ payers through a single, seamless portal.
Providers can now identify denial root causes, analyze accounts receivable (AR) trends, and track payment velocity across their payer mix in real time. Unlike traditional reporting tools, Claims Insights offers intuitive dashboards that make complex payment data easy to understand and act on. With this visibility, providers can customize denial reports, pinpoint top sources of underpayments, and uncover process improvements to help prevent future denials.
For years, providers have struggled with gaining insight into financial performance, having to reconcile data across fragmented systems — none of which reflect true payments data. This inefficiency limits financial clarity and risks lost revenue. Claims Insights changes that, giving providers real-time access to the financial metrics that matter most.
“Claims Insights marks the beginning of an exciting new chapter in our journey to transform the provider payments experience,” said Yusuf Qasim, President, Payments Optimization at Zelis. “By delivering real-time, actionable intelligence where it matters most, we’re not just solving today’s revenue cycle challenges—we’re laying the foundation for what’s next. This is the first of many innovations to come as we continue to invest in capabilities and partnerships that simplify workflows, address pain points like staffing shortages, and build a connected community that works together to fix the frictions that exist within healthcare finance.
Rivet is a powerful revenue analytics platform that enables accurate forecasting, pinpoints revenue leakage from denied claims, and uncovers growth opportunities. The AI-powered dashboards provide clear visibility into how claims activity impacts the bottom line.
“Understanding financial performance should be simple,” said Ted Ferrin, Rivet CEO. “Yet many providers struggle with incomplete insights and reconciliation challenges, making it difficult to pinpoint areas for improvement. Together with Zelis, we are fundamentally changing that, delivering unmatched visibility into key financial indicators to ensure providers take the right actions to optimize revenue and streamline operations.”
Learn more about how Claims Insights is transforming healthcare financial management today.
About Zelis
Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.
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