Zelis Healthcare, LLC

Member Level: Silver

Vendor 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

Alliance members, log in to view this company's complete profile.


company logo

149 Newbury St
5th Floor
Boston, MA 02116
3145703989
https://www.zelis.com/

Rate this vendor

Documents
12/10/2020

Brochure: Enrollment & Claims Communications - Driving savings and member satisfaction
Zelis creates communications to clearly deliver information and increase member satisfaction by consolidating communications and leveraging electronic delivery.

12/10/2020

Case Study: Medicare Advantage Plan Reduced Operational Costs and Developed New EOBs with Zelis
The Challenge - Health plan faced obstacles with Explanation of Benefits customization and audit accountability for strict CMS regulations. The Solution - Health plan implemented an EOB redesign and partnered with Zelis to manage their claims communications.

12/10/2020

Brochure: Payments - Electronic payments
Zelis electronic payment solutions replace paper-based processes with electronic transactions - delivering superior savings, increased efficiencies, and improved processes.

12/10/2020

Presentation: Improving the member and provider experience: How health plans are optimizing member communications
Alongside our long time client and early-adopter of digital communication technology for members and providers, Zelis and co-presenter Avera Health Plan will share the most recent technology advances, key industry trends and deliver a compelling look at a collaborative six year partnership by showcasing successes of digital adoption and efficiencies.

12/3/2020

Two ways we cut $1M off a recent network build
Zelis discusses a health plan case study where provider network cost savings is achieved through two techniques. This health plan saved $1M. Included is how this process can be applied to your next build, optimization, or provider network sales meeting.

10/29/2020

Presentation: Health Plan Alliance Member Plan Engages Bill Review to Realize Millions in Claim Savings
During this presentation attendees will explore how a Health Plan Alliance member plan and strategic vendors partnered to deliver a dual savings, cost control solutions set, yielding millions in claims savings.

10/29/2020

Zelis & Summit Re - Experience Zelis Healthcare
Summit Re and Zelis work together to ensure that reviewed claims that exceed the reinsurance and employer stop loss deductible are paid with any Zelis fees added as an eligible claims expense.

10/29/2020

Case Study: Health Plan Engages Bill Review to Realize Millions in Claim Savings
Zelis is a healthcare and financial technology company that has passed all those tests and, since 2015, has been a trusted partner of Summit ReSources. Its Hospital Bill Review program is utilized by hundreds of payers, including eleven Health Plan Alliance members' plans, which has made it a good fit for the ReAssure program.

10/29/2020

Recording: Health Plan Alliance Member Plan Engages Bill Review to Realize Millions in Claim Savings
This video presentation will explore how a Health Plan Alliance member plan and strategic vendors partnered to deliver a dual savings, cost control solutions set, yielding millions in claims savings.

9/22/2020

Webinar On Demand: Surprise Balance Bills in the COVID-19 Era
Legislative and cost management experts as they discuss recent congressional proposals and actions, COVID-19 claims trends, and how to protect clients and members from surprise bills.