Whether your focus is on in-network or out-of-network medical, dental, or workers’ compensation claims payments, Zelis delivers a real-time, integrated electronic payments solution that reduces the cost of making payments while increasing provider satisfaction. With access to more than 1.5 million providers and a proprietary payments network of more than 700,000 providers, Zelis helps save payers an average 60% of the cost of making healthcare payments by converting from paper-based payments to electronic payments.

Our proprietary real-time integration with leading claims adjudication platforms ensures streamlined implementation with virtually no disruption to existing workflows while providing superior operational efficiency.

• Reduced print and postage costs
• End-to-end reconciliation which eliminates “out-of-system” balancing
• Turnkey CAQH CORE compliance
• Robust automated reporting which improves tracking and insight
• Balanced, detailed 835s that elevate value to providers

Services that maximize savings

The Zelis Payer Client Services Team is a seamless extension of your team. Zelis minimizes the time, cost and distraction associated with implementation.

• Provider enrollment and award-winning service
• Implementation and dedicated account management
• EDI and clearinghouse support
• Monitoring of payments to prevent stale cards
• Fraud and abuse detection and quality assurance programs
• Fast response times-provider service issues
• In-house regulatory guidance and support

Drives superior provider satisfaction

Provider satisfaction is critical to building and maintaining a robust electronic payment network. Zelis delivers an industry-leading, provider-centric payments operating model that encourages electronic adoption, retention and 835 acceptance.

• Unique enrollment model based on provider consent and choice
• Enhanced offerings for complex provider organizations
• Solutions that streamline reconciliation and re-association
• Quality assurance and abuse prevention
• Secure online portal for self-service