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Text Content

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

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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.
   
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 * 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

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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.



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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

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Meet our clients
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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

 * 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

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 * Privacy Policy
 * Terms of Use

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