Better Outcomes Before IDR: A TPA Case Study in NSA Performance
Explore how to use AI and automation improve healthcare claims management and how collaborating with experts can help.
Read more
Claims Communications with Zelis®
Help your members understand benefits and costs — and reduce billing confusion at scale.
Smarter Healthcare Claims Communications, Built for Your Members
Make billing moments easy to understand
Deliver communications that bring context and clarity to every touchpoint.
Reach members where they are
Send communications digitally or in print — meet members and providers on their preferred channel.
Comply with NSA requirements
Automatically send advanced EOBs for out-of-network services as they’re scheduled.
-
-
Proven Savings with SmartShopper
Discover the findings of the Wakely report, highlighting savings of $552 through SmartShopper participation and care transparency.
Read more -
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.
Read more -
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.
Read more
Claims Communications Resources
Insights for Every Role: Using Claims Data to Stop Denials
Learn how providers can use claims data to prevent denials, accelerate cash flow, and improve financial performance.
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…
