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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Zelis® Health Bill Assist®
Expert out-of-network bill navigation, dispute resolution and savings for your members.
Turn Out-of-Network Bill Chaos into Member Confidence
Proactive member outreach
Notify members after out-of-network claims are processed with co-branded communications.
Bill education and advocacy
Explain charges, benefits and NSA protections so members understand exactly what they owe.
Billing error investigation
Identify and correct claim processing errors and discrepancies to reduce member cost exposure.
Provider negotiations
Apply established provider relationships to negotiate member out-of-pocket cost reductions.
Reduced plan admin burden
Extra support with out-of-network claim inquiries, member questions and provider negotiations.
No cost to members
Members receive full bill navigation support at no charge — improving outcomes and trust.
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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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More Health Bill Assist Resources
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CMS Proposes Major Updates to Health Care Price Transparency Rules
On December 19th, The Centers for Medicare & Medicaid Services (CMS), in collaboration with other agencies, announced proposed updates to the healthcare price Transparency in Coverage (TiC) rules introduced during…
Frequently Asked Questions About Health Bill Assist℠
Partnering with Zelis on out-of-network member bills helps providers reduce administrative burden, improve cash flow, decrease uncompensated care and strengthen patient satisfaction. When health plans and providers work together to support members with balance bills, the result is a more efficient, patient-centered experience for everyone involved.
Zelis reaches out to providers on behalf of members who have a high propensity to pay but are struggling with the cost of their bill. By extending a discount in exchange for expedited payment, providers improve cash flow and reduce collection risk — a straightforward win for both sides.
You work directly with Zelis. Our bill navigators facilitate conversations between members and providers to reduce strain on everyone involved. Our team brings deep healthcare experience and a thorough understanding of health plan benefit structures – so you’re always working with experts who know the landscape.
Since Health Bill Assist negotiations are based on the member’s cost share, the provider agrees to reduce what the member owes in exchange for expedited payment. Payment goes directly from the member to the provider.
