Claims Communications

Making benefits & NSA compliance simple and easy to understand.

Turn routine communications into meaningful touchpoints with Advanced EOBs.

We believe it’s critical for your members to understand their healthcare benefits and their healthcare responsibilities. Our DOCS^® platform makes it easy for you to streamline your claims communications process.

The DOCS^® self-service platform pulls real-time data from multiple sources to enable you to create Episodic EOBs^®. Instead of individual, transactional documents, your members will receive a clear, single statement.

Now, with the No Surprises Act, we’re taking EOBs a step further. Zelis Advanced EOBs (AEOB^®s) allow you to provide required information when appointments are made or members request cost estimates.

Trusted Claims Communications

Give members a single source for plan information, including deductibles, co-pays and requirements

Improved Estimates

Enhance the accuracy of cost estimates with our exclusive out-of-network estimations and machine-readable files.

Fulfill Digitally or Print

Build a complete delivery solution, supporting both online and print delivery of Advanced EOBs.

Full NSA Compliance

Deliver helpful, compliant claims communications to members in advance of the 2022 deadline.

For Payers

Zelis Claims Communications empowers you to:

Move from transactional to episodic claim communications
Bring new transparency and clarity to member materials
Consolidate mailings, even from multiple partners
Coordinate EOBs with provider adjudication schedules
Customize designs to align with brand standards
Comply with changing regulations, including the No Surprises Act

Learn how Claims Communications are part of our integrated approach to NSA compliance.

Zelis by the Numbers

A healthcare communications snapshot:

30 %

of consumers place high value on health plan communications

56 %

of patients had a negative experience due to billing confusion

74 %

of consumers are confused by EOBs and medical bills

Testimonials

Claims Communication in action.

“As we’ve worked with Zelis, we’ve found all of their capabilities and solutions to be very easy to plug-in and integrate with our offerings. That flexibility is very valuable to us.”

– Joel, Executive Director at National Health Plan

“Zelis rates especially high for us with their continuously strengthening and expanding their offerings. Their client-focused and customizable solutions provide our organization with competitive flexibility. The opportunity to minimize the complications of managing multiple vendor partnerships by utilizing Zelis is invaluable, not to mention the measurable cost savings our sponsors have gained.”

– Cindy, COO of TPA

“Zelis is so easy to work with, and I’m consistently amazed that it always is such a pleasure to do business with them. We’re such a lean organization that when we have a vendor that actually truly supports us, listens to us, and delivers for us, it just makes everything smoother!”

– Jen, COO of Regional Health Plan

Take the Next Step

Bring clarity to every part of your claims communication.

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