
Claims Editing
Pay healthcare claims at the right time, every time.

Improve payment accuracy with a holistic approach to claims editing.
Proactively identifying billing errors is proven to reduce overpayments and provider abrasion, all while improving savings. That’s why we examine every claim using a combination of a growing library of edits, historical data, industry knowledge, and the expertise of a team of certified professional coders, registered nurses, and medical doctors.
As we continue to pay for care with care, intentional solutions that are customizable to your workflow are critical. Zelis Claims Editing is designed to fit your claims processing and payments workflow where you need it. Our out-of-the box approach provides a flexible solution that ensures timely, accurate payments.

Flexible Solution
Whether you need a first-pass editor or a secondary one, Zelis Claims Editing fits in your workflow to ensure you are capturing the most savings possible.
Customizable Edits
Customizations and edit optimization ensure your edit rules are staying up-to-date with regulatory changes, in-house policies, and unique provider contracts.
Content
Regularly updated to adhere to national coding standards and enhanced by the Office of the CMO and a team of clinical experts, including physicians and nurses.
Pre-payment review drives timely and accurate payments
The combination of tech-enabled workflows and hands-on expert reviews ensures each claim gets the proper level of review it warrants, ensuring each claim is treated like the unique patient story it is.








For Healthcare Payers & Third-Party Administrators (TPAs)
Zelis Claims Editing enables you to:

For Blues Plans
Zelis Claims Editing suite is designed to:

Zelis by the Numbers
Measurable savings on every claim:
Testimonials
Claims Editing in action.
Take the Next Step
Learn how Zelis Claims Editing uncovers savings every day.
