Zelis Healthcare, LLC
Member Level: SilverVendor Overview
Description of Services: Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. Learn more at Zelis.com and follow us on LinkedIn to get the latest news.
Primary Service: Automation, Workflow and IT Services
Secondary Service: Utilization/Care/Disease Management
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149 Newbury St
5th Floor
Boston, MA 02116
3145703989
https://www.zelis.com/
Documents
Recording: Understanding the Costs of Ineffective Payment Integrity
Zelis will share during this presentation the findings from the inaugural Payment Integrity Harmonization Index, trends that are shaping solutions, and more! All attendees will receive complimentary access to the Payment Integrity Harmonization Benchmark assessment and subsequent findings, hosted by Aite-Novarica.
Presentation: Understanding the Costs of Ineffective Payment Integrity
Zelis will share in this presentation the findings from the inaugural Payment Integrity Harmonization Index, trends that are shaping solutions, and more! All attendees will receive complimentary access to the Payment Integrity Harmonization Benchmark assessment and subsequent findings, hosted by Aite-Novarica.
Recording: Workshop Immersion #3
Zelis and HealthSparq lead a discussion about the various NSA and price transparency requirements. This was shared at the NSA Workshop Fly-In in Dallas, TX.
Presentation: Workshop Immersion #3
Updated 9/14/2022. Zelis and HealthSparq lead a discussion about the various NSA and price transparency requirements. This was shared at the NSA Workshop Fly-In in Dallas, TX.
Article: The Zelis Payment Harmonization Index
Zelis commissioned Aite Novarica Group to assess how well commercial payers are enabling a harmonious payment ecosystem. This includes designing, building and managing networks to ensure accurate and swift electronic payments, and reducing processing costs.
Recording: Bringing Transparency Regulations into Focus
Please view this video presentation and hear how to meet transparency provisions for your health plan.
Presentation: Critical Compliance - Meeting Transparency Requirements
Experts from Zelis and Sapphire Digital, now a part of Zelis, share their insights and guidance in understanding the new transparency regulations outlined in the No Surprises Act and Transparency in Coverage Rule and what to do to become compliant.
Recording: Critical Compliance - Meeting Transparency Requirements
Experts from Zelis and Sapphire Digital, now a part of Zelis, share their insights and guidance in understanding the new transparency regulations outlined in the No Surprises Act and Transparency in Coverage Rule and what to do to become compliant.
Executive Summary - Zelis at a glance
As a leading healthcare payments company, we price, explain, and pay for care on behalf of insurers and their members. Zelis was founded on a belief that there is a better way to determine the cost of a healthcare claim, manage payment-related data, and make the payment because more affordable and transparent care is good for all of us.
Presentation: Utilizing Pre-Payment Auditing to Maximize Savings and Reduce Abrasion
Cox HealthPlans, a Health Plan Alliance member, partnered with Zelis to deliver dual savings, pre-payment cost control solutions set, which yielded millions in high-dollar claims savings.