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.
Healthcare Claims Editing with Zelis.
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.
Improve payment accuracy with a holistic approach.
Optimize revenue opportunities with expert analysis and recommendations on your claims payments and trends, reducing claim appeals with adherence to coding standards. 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.
Leading Performer in 2023 KLAS inaugural Payment Accuracy & Integrity Solutions Report
KLAS, a leading independent healthcare analyst firm, recently profiled 8 Payment Integrity vendors through hours of direct customer interviews, vendor briefings, and market insights. The result is a comprehensive view of the payer payment integrity landscape, and Zelis is the top-rated vendor.Read the Report
By the Numbers
Measurable savings on every claim.
of Zelis claims edits are disputed
of Zelis claim edits are reversed
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Let’s talk about modernizing your business.
There’s no shortage of ways we can help. Get a conversation going with one of our Solution Advisors and build a thoughtful approach aligned to your business goals.
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