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Submitted URL: http://zelis.com/
Effective URL: https://www.zelis.com/
Submission: On January 21 via manual from US — Scanned from DE
Effective URL: https://www.zelis.com/
Submission: On January 21 via manual from US — Scanned from DE
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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 Search Search Menu * 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 Opens in a new window Opens an external site Opens an external site in a new window x 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 →