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Together, we can connect, streamline, balance and clarify healthcare payments.
It’s no secret: the healthcare system is deeply fragmented, and more inefficient than ever.
Traditional, siloed approaches will not fix this antiquated system. It will take an integrated solution encompassing network analytics, payment integrity, electronic payments and member communications. A solution built with agile technology to bring payers, providers and consumers together – and infuse new levels of care to every healthcare claim.
We’re building Zelis as a unified solution to fix:
in administrative waste alone
A bold new world.
We’re taking a holistic approach that removes friction from the entire payment process by focusing first on pre-service and pre-payment modalities: because clean, accurate data at the outset streamlines payments and leads to savings and efficiency for all participants.
in network and claims cost savings
payments delivered annually
reduction in print and postage costs
We’ve built Zelis from the ground up to address the most abrasive aspects of the payment process. The only way to deliver on our promise to help you pay for care, with care is by identifying and solving the most complex steps of every healthcare transaction.
Pre-payment savings on every claim.
Ensure accurate payments with in-depth clinical and financial reviews prior to processing.
Identify and correct coding errors before payments are processed.
Multi-layered approach minimizes abrasion and delivers measurable savings.
Achieve appropriate claims costs using integrated technology, coding expertise and historical benchmarks.
Build a model pricing strategy that improves transparency, reduces provider abrasion and drives savings.
Take advantage of tailored network design and access to more than 1.M medical, dental, property and casualty providers.
Transform how providers get paid and drive member satisfaction with clear communications.
Simplify design and streamline distribution to ensure members have critical plan information when they need it most.
Consolidate claim communications, including EOBs, with episodic, rather than transactional, EOBs.
Build, optimize, maintain, access and sell stronger networks.
Build and optimize completive, accessible, and high value networks to win market share and meet your members’ needs.
Network Strategy, Maintenance and Sales
Track competitor activity and market opportunities to refine your network strategy, identify the best fit providers to maintain competitiveness, and communicate the strength of your network
Provider Decision Support
Streamline provider directory and consulting with faster, more accurate data collection and verification.
Take the Next Step
Friction in healthcare payments ends here. Let us show you how.
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