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.
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Zelis Health Bill Assist℠ helped cut $52,000 in medical costs
Discover how expert advocacy and support from Zelis Health Bill Assist helped one member save $51,000 on an out-of-network medical bill.
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How one health system manages high payment volume in half the time
See how one large health system cut payment reconciliation time in half and streamlined high-volume payments with Zelis.
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From $156K to $430: A Health Bill Win That Earned Member Trust
Discover how expert advocacy and support from Zelis Health Bill Assist helped one member save $51,000 on an out-of-network medical bill.
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All Out-of-Network Pricing Resources
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.
NSA Compliance Guide — Payers and Providers
Learn No Surprises Act compliance requirements for payers and providers, including QPA, IDR, open negotiation, and strategies to reduce disputes.
NSA IDR Final Rule Blog
Learn what the NSA IDR final rule means for payers, TPAs and health plans, including Gateway readiness, coding updates and phased compliance next steps.
