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Submitted URL: https://www.zelispayments.com/
Effective URL: https://www.zelis.com/
Submission: On December 07 via manual from US — Scanned from DE
Effective URL: https://www.zelis.com/
Submission: On December 07 via manual from US — Scanned from DE
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</form>Text Content
Skip to content
* Find a Provider
* Provider Enrollment
* Provider Login
* Payer Login
* Careers
Search Search
Menu
* SolutionsExpand child menu
Our Solutions OverviewPayment IntegrityCapture savings on every claim before
you pay.
* Bill Review
* Claims Editing
Out-of-Network SolutionsUncover measurable savings with a multi-layered
approach.
* Claims Negotiations
* Market-Based Pricing
* Specialty Networks
* No Surprises Act & Transparency in Coverage
Payments OptimizationTransform how providers get paid and drive member
satisfaction.
* Payments Optimization for Payers
* Payments Optimization for Providers
* Enrollment Communications
* Claims Communications
NetworksBuild, optimize, maintain, access and sell stronger networks.
* Network Performance
* Network Strategy, Maintenance and Sales
* Provider Decision Support
* Primary and Supplemental Networks
* Reference-Based Pricing for Network Replacement
* Our CompanyExpand child menu
Our Company OverviewAbout UsLearn more about our mission and
history.LeadershipMeet the passionate individuals who lead Zelis.CareersJoin
the team that’s transforming how to pay for healthcare.PartnershipsSee the
bold companies that have joined us on our mission.
* Find a Provider
* Provider Enrollment
* Provider Login
* Payer Login
* Careers
Search Search
* Connect with us
FASTER, MORE ACCURATE HEALTHCARE PAYMENTS. ONLY WITH ZELIS.
Pay for care, with care. Zelis harnesses data-driven insights and human
expertise at scale to optimize every step of the healthcare payment cycle.
Learn how
SEE WHAT WE DO FOR:
Health Plans
Third Party Administrators
Dental Plans
Providers
WHAT DOES IT MEAN TO PAY FOR CARE, WITH CARE?
WITH ZELIS ON YOUR SIDE, YOU CAN:
*
Balance risk and financial performance
*
Ensure the accuracy of claims
*
Remove friction from healthcare payments
*
Improve network performance
*
Boost member satisfaction
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SOLUTION SHOWCASE
FIND BALANCE IN YOUR FINANCIAL PERFORMANCE.
* Price
* Explain
* Pay
* Enhance
Bill Review
Ensure accurate payments with in-depth clinical and financial reviews prior to
processing.
Claims Editing
Identify and correct coding errors before payments are processed.
Claims Negotiations
Achieve appropriate claims costs using integrated technology, coding expertise
and historical benchmarks.
Market-Based Pricing
Build a model pricing strategy that improves transparency, reduces provider
abrasion and drives savings.
Primary and Supplemental Networks
Give members access to their preferred providers with tailored access to
Medical, Dental, and Property and Casualty providers.
--------------------------------------------------------------------------------
Learn more about our payment integrity and network solutions.
Claims Communications
Bring clarity and consistency to member ID cards and episodic, rather than
individual, EOBs.
Enrollment Communications
Simplify design and streamline distribution to ensure members have critical plan
information when they need it most.
Provider Decision Support
Streamline provider directory and consulting with faster, more accurate data
collection and verification.
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Learn more about claims communications and our network solutions.
Payments Optimization for Payers
Leverage flexible payment options that balance cost effectiveness with provider
satisfaction, allowing you to minimize abrasion and continuously expand your
network.
Payments Optimization for Providers
Streamline and speed up payment receipt and reconciliation throughout your
organization with 835 system integration, easy routing to multiple TINs and
enhanced security.
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Learn more about our payments optimization platform.
Network Performance
Build and optimize completive, accessible, and high value networks to win market
share and meet your members’ needs.
Network Strategy, Maintenance and Sales
Track competitor activity and market opportunities to refine your network
strategy, identify the best fit providers to maintain competitiveness, and
communicate the strength of your network.
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Learn more about our network solutions.
TESTIMONIALS
OUR SOLUTIONS IN ACTION.
Previous
“The implementation process with Zelis was painless. Their team assisted us in
making sure that all the details were handled, and that all our business was
moved and active in the systems within 90 days from implementation.”
– Joanne, Vice President of TPA
“Managing payments manually requires significant effort. The Zelis automated
payments solution has reduced this by 4x for our hospital business, and 6x for
our physician business.”
– Sue, Director of Processing at Not-for-Profit Health System
“As we’ve worked with Zelis, we’ve found all 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 of National Health Plan
“Zelis makes doing business simple. Our clients are saving so much money on
claims that they re asking for new products. It’s a rare treat to sit down with
a client that hasn’t bought a new solution in years and is now asking “what’s
next?” That builds loyalty.”
– Craig, COO of TPA
Next
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SCALE WITH ZELIS
WORKING AS HARD AS YOU DO ON THE DETAILS THAT MATTER.
A CULTURE OF SERVICE
Being collaborative and caring is deeply ingrained in our DNA. We serve as
expert business partners to proactively guide you through the complex healthcare
payments system.
AGILE TECHNOLOGY
Our technology flexes with you, interweaving human intelligence and expertise
with advanced analytics to rapidly configure and implement the right solution in
every situation.
MULTI-MODAL SOLUTIONS
We see opportunities to reduce friction everywhere, applying the optimal
modality to address the most abrasive aspects of the payment process.
SERIOUS SECURITY
We handle some of the most sensitive data in healthcare, and we take our role in
protecting privacy seriously. We maintain HITRUST and SOC II certifications and
follow cutting-edge security practices.
Learn more about Zelis
TAKE THE NEXT STEP
BRING PURPOSE-BUILT CAPABILITIES TO EVERY STEP OF YOUR PAYMENT PROCESS.
Connect with Zelis
Sign up for the latest from Zelis.
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* Solutions
* Payment Integrity
* Out-of-Network Solutions
* Payments Optimization
* Networks
* Provider Solutions
* Company
* About Us
* Leadership
* Careers
* Partnerships
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© 2021 Zelis
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EXCITING NEWS!
We've acquired Sapphire Digital, healthcare's leading platform for consumer
navigation.
Together, we're delivering compliance with the No Surprises Act & Transparency
in Coverage rule.
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