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190 results found • page 15 of 19
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The Data Revolution: Coming to a Healthcare Industry Near You
POST...more informed financial decisions before getting care. No matter where you are in the healthcare cycle, we’ve made a commitment to turn messy data into actionable insights. My hope is...
https://www.zelis.com/blog/the-data-revolution-coming-to-a-healthcare-industry-near-you/ -
CMS to Enforce TiC’s Prescription Drug MRF RequirementÂ
POST...the requirement to disclose certain rates as dollar amounts is a fact-specific determination; therefore, CMS intends to exercise enforcement discretion with respect to this requirement on a case-by-case basis, without...
https://www.zelis.com/legislative-highlights/cms-to-enforce-tics-prescription-drug-mrf-requirement/ -
Transparency in Coverage Legislative Hub
PAGE...How to Turn Messy MRF Data into Actionable Insights MRF data might seem complicated, but it doesn’t have to be. Find out how MRFs can help you gain valuable insight...
https://www.zelis.com/transparency-in-coverage-legislative-hub/ -
Health plans must modernize payments systems to keep their provider base
POST...systems, many don’t know how to make the shift, and efforts they undertake on their own often fall short. When payers partner with a payments network that actively guides providers...
https://www.zelis.com/blog/health-plans-must-modernize-payments-systems-to-keep-their-provider-base/ -
Zelis® Payment Integrity Named 2024 Best in KLAS, Outpacing the Industry for Client Experience, with System Integration and Achieved Client Outcomes
POST...voices and act as catalysts for improving vendor performance. The KLAS research team publishes reports covering the most pressing questions facing healthcare technology today, including emerging technology insights, that provide...
https://www.zelis.com/news/zelis-payment-integrity-named-2024-best-in-klas/ -
Payment Integrity
PAGE...to align with plan policies, regulations and provider contractual provisions. Reduce provider abrasion with comprehensive pre-pay reviews to pay the claim right the first time and not impact provider revenue...
https://www.zelis.com/solutions/payment-integrity/ -
Out-of-Network Solutions
PAGE...combined with your own provider network. Expand the discounts available to plans and members, delivering both convenience and savings. Avoid contract breaches that often exist with competitors’ supplemental networks. Fill...
https://www.zelis.com/solutions/out-of-network-solutions/ -
Payments Optimization
PAGE...today. We’ve come a long way from the days when we were faxing actual bill reviews and explanation of pricing statements back and forth. The partnership with Zelis has resulted...
https://www.zelis.com/solutions/payments-optimization/ -
Network Strategy, Maintenance and Sales
PAGE...turn the data in Network360® into action, shaping your network strategy and building a modern, flexible network that meets your members’ most important needs. Combine your in-house CRM and provider...
https://www.zelis.com/solutions/network-solutions/network-strategy-maintenance-and-sales/ -
Third-Party Administrators
PAGE...point of contact for pre-payment optimization. Take control of the payments process from beginning to end. Engage members with clear enrollment and claims communications. See the Zelis Platform Case Study...
https://www.zelis.com/built-for/payers/third-party-administrators/