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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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.
Read more
Billing Resources
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.
Payment Integrity Vendor Selection White Paper
See how US healthcare payers can choose the right payment integrity vendor, reduce provider abrasion and improve retained savings with smarter claims strategy.
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.
