The 2022 Payment Harmonization Index is here.

Learn More
Solutions / Payments Optimization / Claims Communications
Claims Communications Icon

Claims Communications

Making benefits & NSA compliance simple and easy to understand.

Claims Communications Product UI

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.

Woman on ipad

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.

family cooking dinner

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


Claims Communication in action.

Take the Next Step

Bring clarity to every part of your claims communication.

Woman leaning on desk smiling