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Skip to content * Find a Provider * Provider Solutions * Provider Login * Payer Login * Careers Search Search Menu * SolutionsExpand child menu Our Solutions OverviewNetwork SolutionsBuild, 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 Out-of-Network SolutionsUncover measurable savings with a multi-layered approach. * Claims Negotiations * Market-Based Pricing * Specialty Networks * No Surprises Act & Transparency in Coverage Payment IntegrityCapture savings on every claim before you pay. * Bill Review * Claims Editing Payments OptimizationTransform how providers get paid and drive member satisfaction. * Payments Optimization for Payers * Payments Optimization for Providers * Enrollment Communications * Claims Communications * Built ForExpand child menu OverviewZelis for Payers * Health Plans * Property and Casualty Plans * Third-Party Administrators Zelis for Providers * Benefit Consultants and Brokers * Health Systems and Hospitals * Medical Practices * Dental Practices * Our CompanyExpand child menu Our Company OverviewAbout UsLearn more about our mission and history.LeadershipMeet the passionate individuals who lead Zelis.PartnershipsSee the bold companies that have joined us on our mission.PressSee the latest press mentions and get our press toolkit.CareersJoin the team that’s transforming how this country pays for care. * ResourcesExpand child menu See all ResourcesBlogPacked with insight, our articles help guide the way forward.NewsSee the latest news from Zelis and how we’re changing healthcare payments.PlaybooksGet in-depth expertise you can read anywhere.PodcastsListen to our experts on various podcasts, summarized into snackable articles.Case StudiesWe’re proud of our work, but we’re even more proud of the results.ReportsTake a deeper look at trends and issues affecting healthcare payments. Current Topics -------------------------------------------------------------------------------- Payers Providers Innovation TiC Legislation * Connect with us FASTER, MORE ACCURATE HEALTHCARE PAYMENTS. ONLY WITH ZELIS. Pay for care, with care.SM 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 Property & Casualty Third-Party Administrators 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 Pause video Play video 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. -------------------------------------------------------------------------------- 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. -------------------------------------------------------------------------------- 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. -------------------------------------------------------------------------------- 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. 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 * 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 888.311.3505 -------------------------------------------------------------------------------- * 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 THE PAYMENT HARMONIZATION INDEX IS HERE! Groundbreaking primary research directly from senior leaders. See how well commercial payers are enabling a harmonious healthcare financial experience. Get your copy of the report →