Payment Integrity
Ensure the accuracy and integrity of claims – before you pay.
Payment Integrity Suite
Maximize savings by minimizing costly claim and billing errors.
Bill Review
We use itemized bill and advanced clinical chart audits prior to payment to uncover coding errors and inappropriate charges.
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.
Case Study
Third-Party Administrator ACS Benefit Services realizes $13M in Savings
By choosing to add Zelis as their external partner for healthcare bill reviews, edits, and audits, ACS has converted more than 300,000 paper payments to electronic modalities and realized $13M in gross savings since 2018.
Take the Next Step
See how much you can save with a Payment Integrity impact analysis.
