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.

More Health Bill Assist Resources

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.