Solutions / Payment Integrity

Payment Integrity

Ensure the accuracy and integrity of claims – before you pay.

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Payment Integrity Suite

Maximize savings by minimizing costly claim and billing errors.

  • Gain efficiency with a single point of contact for Payment Integrity solutions
  • Customize options, reports and rules
  • Use analytics for precise pre-payment claim review
  • Maximize savings on every claim
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Bill Review

We use itemized bill and advanced clinical chart audits prior to payment to uncover coding errors and inappropriate charges.

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Claims Editing

We incorporate technology, analytics and clinical expertise to identify billing and coding accuracy. Zelis uses client-specific customizations to align with each plan’s unique medical, benefit, and payment policies.

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Take the Next Step

See how much you can save with a Payment Integrity impact analysis.

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