How One Payer Used Market-Based Pricing to Drive Out-of-Network Savings
See how a regional healthcare payer expanded ERS market-based pricing to grow out-of-network savings while keeping provider disputes low.
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Zelis® Out-of-Network Pricing
Access contracted discounts using Zelis networks and local, national, and specialty network partners.
More Networks. More Coverage. More Savings.
Extensive network partners
Access local, regional and specialty network partners to expand discounts and member coverage.
Nationwide provider relationships
Nationwide coverage for medical, dental and workers compensation claims across key specialties.
Supplemental network access
Fill coverage gaps with specialty networks focused on behavioral health, OT, PT and chiropractic care.
All Out-of-Network Pricing Resources
Provider Payment Portal Integration Guide
Learn how provider payment portals integrate with EHR and billing systems, what data migration requires, and how long setup typically takes.
Healthcare Fraud, Waste and Abuse Guide
Learn what fraud, waste and abuse mean in healthcare, how to spot FWA indicators, and how payers can reduce improper payments with stronger payment integrity.
Reimagining P&C Claims Performance Webinar
Learn how P&C insurers can modernize medical payments, reduce manual work, accelerate claims workflows and improve claimant and provider experiences.
