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Text Content

Skip to content

The 2022 Payment Harmonization Index is here.

Learn More
 * Find a Provider
 * Provider Solutions
 * Provider Login
 * Payer Login

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 * Find a Provider
 * Provider Solutions
 * Provider Login
 * Payer Login

Search Search
 * Why Zelis?
   
   
   WHY ZELIS?
   
   A lot of companies are talking about transforming the business of healthcare,
   but we're taking action.
   
   Learn more
   
   
   CUSTOMER STORIES
   
    * AmeriBen
   
    * ACS Benefit Services
   
    * BlueCross BlueShield
   
   
   HARMONIZING HEALTHCARE
   
    * Harmonization Index
   
    * B2B Payments Report
   
    * Payment Integrity Report

 * Solutions
   
   
   INTEGRATED APPROACH
   
   One partner to address the most abrasive aspects of the healthcare financial
   experience with purpose-built solutions.
   
   See all solutions
    * Payment Integrity
      
      Capture savings on every claim before you pay.
   
    * Out-of-Network Solutions
      
      Uncover significant savings with a layered approach.
   
    * Network Solutions
      
      Build, optimize, maintain, and sell performing networks.
   
    * Payment Optimization
      
      Deliver faster payments and better communications to your clients.
   
    * Member Engagement
      
      Empower your members to navigate finding care at an affordable cost.
   
    * NSA + TiC Compliance
      
      Meet regulatory requirements for No Surprises Act & Transparency in
      Coverage.

 * Built For
   
   
   BETTER TOGETHER
   
   More than 700 payers rely on Zelis to price, pay and empower a better
   healthcare financial experience.
   
   Learn more
   
   
   PAYERS
   
    * Health Plans & National Carriers
   
    * Property and Casualty Plans
   
    * Third-Party Administrators
   
    * Brokers & Consultants
   
   
   PROVIDERS
   
    * Health Systems and Hospitals
   
    * Medical Practices
   
    * Dental Practices

 * Resources
   
   
   HERE TO HELP
   
   Explore our library of content crafted to empower you in making healthcare
   work better.
   
   See all resources
   
   
   QUICK READS
   
    * Blog
   
    * Podcasts
   
    * News
   
   
   DOWNLOADS
   
    * Case Studies
   
    * Playbooks
   
    * White Papers

 * Company
   
   
   ABOUT US
   
   Discover who we are, what we value, and how we work at Zelis.
   
   Read our story
   
   
   ABOUT ZELIS
   
    * Leadership
   
    * Careers
   
    * CEO Blog
   
   
   IN THE MEDIA
   
    * Press
   
    * Analyst Reports

 * Connect with us


WHY ZELIS?

A lot of companies are talking about transforming the business of healthcare,
but we're taking action.

Learn more


CUSTOMER STORIES

 * AmeriBen

 * ACS Benefit Services

 * BlueCross BlueShield


HARMONIZING HEALTHCARE

 * Harmonization Index

 * B2B Payments Report

 * Payment Integrity Report


INTEGRATED APPROACH

One partner to address the most abrasive aspects of the healthcare financial
experience with purpose-built solutions.

See all solutions
 * Payment Integrity
   
   Capture savings on every claim before you pay.

 * Out-of-Network Solutions
   
   Uncover significant savings with a layered approach.

 * Network Solutions
   
   Build, optimize, maintain, and sell performing networks.

 * Payment Optimization
   
   Deliver faster payments and better communications to your clients.

 * Member Engagement
   
   Empower your members to navigate finding care at an affordable cost.

 * NSA + TiC Compliance
   
   Meet regulatory requirements for No Surprises Act & Transparency in Coverage.


BETTER TOGETHER

More than 700 payers rely on Zelis to price, pay and empower a better healthcare
financial experience.

Learn more


PAYERS

 * Health Plans & National Carriers

 * Property and Casualty Plans

 * Third-Party Administrators

 * Brokers & Consultants


PROVIDERS

 * Health Systems and Hospitals

 * Medical Practices

 * Dental Practices


HERE TO HELP

Explore our library of content crafted to empower you in making healthcare work
better.

See all resources


QUICK READS

 * Blog

 * Podcasts

 * News


DOWNLOADS

 * Case Studies

 * Playbooks

 * White Papers


ABOUT US

Discover who we are, what we value, and how we work at Zelis.

Read our story


ABOUT ZELIS

 * Leadership

 * Careers

 * CEO Blog


IN THE MEDIA

 * Press

 * Analyst Reports


MODERN HEALTHCARE FINANCIAL EXPERIENCES ARE BUILT WITH ZELIS.

Harness data-driven insights and human expertise in a connected platform to
bridge the gaps in the healthcare financial system.

Learn how

SEE WHAT WE DO FOR:

Health Plans
Property & Casualty
Third-Party Administrators



WHAT DOES IT MEAN TO MODERNIZE THE BUSINESS OF HEALTHCARE?

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





SOLUTION SHOWCASE


FIND BALANCE IN YOUR FINANCIAL PERFORMANCE.

 * Price
 * Pay
 * Empower
 * 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.


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.



--------------------------------------------------------------------------------



Learn more about our payments optimization platform.


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.



--------------------------------------------------------------------------------



Learn more about claims communications and our network solutions.


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.



--------------------------------------------------------------------------------



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
 * 1
 * 2
 * 3
 * 4

Meet our clients
Play


SCALE WITH ZELIS


WORKING AS HARD AS YOU DO ON THE DETAILS THAT MATTER.



TECHNOLOGY BUILT BY HEALTHCARE EXPERTS.

Our technology is purpose-built for healthcare, using deep industry expertise to
help our clients better operate and stay current with changing regulations in
the complex and evolving healthcare financial landscape.

PARTNERSHIP THAT EVOLVES WITH YOU.

We’re passionate about your success. We work with you to build the right
solutions, helping you to scale and grow your business.

VISIBILITY THAT UNLOCKS VALUE.

Zelis has data, insights, and solutions that span the entire healthcare
financial experience, enabling us to identify, optimize and solve problems
holistically, driving real, measurable results for clients.

Learn more about Zelis


TAKE THE NEXT STEP


BRING PURPOSE-BUILT CAPABILITIES TO EVERY STEP OF YOUR PAYMENT PROCESS.


Connect with Zelis

 * Solutions
 * Network Solutions
 * Out-of-Network Solutions
 * Payment Integrity
 * Payments Optimization
 * Provider Solutions

 * Company
 * About Us
 * Leadership
 * Partnerships
 * Press
 * Careers

 * Resources
 * Blog
 * Case Studies
 * Playbooks
 * News
 * Harmonization Index

Follow us on Facebook Follow us on Twitter Follow us on Linkedin


--------------------------------------------------------------------------------

 * Privacy Policy
 * Terms of Use

© Zelis Healthcare
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PAYSPAN IS NOW PART OF ZELIS

Payspan provides payment automation that improves administrative efficiency,
meets regulatory requirements, and enables payers and providers to manage new
reimbursement strategies.

Read the release →