Expert Claims Review®
Expert pre- and post-pay review to uncover coding errors and reduce overpayments on complex claims.
Zelis® Payment Integrity Solutions
Pay every claim accurately — and catch errors before they cost you.
Accurate Claims. Less Friction. Sustainable savings.
Pre- and post-pay reviews
Get it right before payment with pre-pay reviews, and resolve complex errors post-pay.
AI-enabled, expert validated
AI prioritizes, synthesizes, and accelerates; clinicians, coders, and pharmacists validate nuanced outcomes.
Transparent and provider-aware
Every decision is built to be explainable, supportable, and easier to communicate to providers.
Payment Integrity Products
Claims Editing
Expert-built edits that improve claims accuracy and fit your existing policies.
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B2B Provider Payments: Customer Success (ZAPP + ZAPP Edge)
Learn how one payer reached 70% EFT adoption, cut $400K in print and postage costs, and improved operations using advanced payment solutions.
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How Zelis Helped a Member Save $51K on Their Health Bill
Discover how expert advocacy and support from Zelis Health Bill Assist helped one member save $51,000 on an out-of-network medical bill.
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All Payment Integrity Resources
Healthcare Fraud, Waste and Abuse Guide
Learn what fraud, waste and abuse mean in healthcare, how to spot FWA indicators, and how payers can reduce improper payments with stronger payment integrity.
Everest Group 2026 Pre-Payment Integrity Report
Download Everest Group’s 2026 Pre-Payment Integrity PEAK Matrix report to see why Zelis was named a Leader for prevention-first payment accuracy for payers.
Payment Integrity Vendor Selection Infographic
Download the infographic to evaluate payment integrity partners, pressure-test ROI and connect pre-pay prevention with post-pay claims intelligence.
