Menu Solutions Together, we can connect, streamline, balance and clarify healthcare payments. It’s no secret: the healthcare system is deeply fragmented, and more inefficient than ever. Traditional, siloed approaches will not fix this antiquated system. It will take an integrated solution encompassing network analytics, payment integrity, electronic payments and member communications. A solution built with agile technology to bring payers, providers and consumers together – and infuse new levels of care to every healthcare claim. We’re building Zelis as a unified solution to fix: $ 1 T* in wasted spending $ 141 B* in administrative waste alone Unreliable provider data Poor provider network performance Gaps in payer networks *NEJM, “Tallying the Waste in American Healthcare,” Jan. 5, 2021 A bold new world. We’re taking a holistic approach that removes friction from the entire payment process by focusing first on pre-service and pre-payment modalities: because clean, accurate data at the outset streamlines payments and leads to savings and efficiency for all participants. $ 14 B in network and claims cost savings $ 25 B payments delivered annually 30 % reduction in print and postage costs Our Solutions Purpose-built approach. We’ve built Zelis from the ground up to address the most abrasive aspects of the payment process. The only way to deliver on our promise to help you pay for care, with care is by identifying and solving the most complex steps of every healthcare transaction. Payment Integrity Pre-payment savings on every claim. 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. Learn more Out-of-Network Solutions Multi-layered approach minimizes abrasion and delivers measurable savings. 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. Specialty Networks Take advantage of tailored network design and access to more than 1.M medical, dental, property and casualty providers. No Surprises Act / Transparency in Coverage Gain the insight and tools you need to comply with new balance billing regulations set to take effect in 2022. Learn more Payments Optimization Transform how providers get paid and drive member satisfaction with clear communications. Payments Optimization for Payers Reduce the cost of making payments while driving provider satisfaction with our integrated electronic payments solution. Payments Optimization for Providers Enroll in Zelis ACH and get paid faster and the way you want, while also reducing costs. Enrollment Communications Simplify design and streamline distribution to ensure members have critical plan information when they need it most. Claims Communications Consolidate claim communications, including EOBs, with episodic, rather than transactional, EOBs. Learn more Networks Build, optimize, maintain, access and sell stronger networks. 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 Provider Decision Support Streamline provider directory and consulting with faster, more accurate data collection and verification. Primary and Supplemental Networks Give members access to their preferred providers with tailored access to Medical, Dental, and Property and Casualty providers. Reference-Based Pricing for Network Replacement Get competitive savings with fewer appeals using a comprehensive savings strategy tailored to fit plan goals. Learn more Take the Next Step Friction in healthcare payments ends here. Let us show you how. Connect with Zelis Sign up for the latest from Zelis. Email address Solutions Payment Integrity Out-of-Network Solutions Payments Optimization Networks Provider Solutions Company About Us Leadership Careers Partnerships Follow us on Facebook Follow us on Twitter Follow us on Linkedin 888.311.3505 Privacy Policy Terms of Use © 2021 Zelis