Zelis is a healthcare technology company that provides a range of financial and network management solutions to optimize healthcare payments and enhance provider and payer operations.

Company Overview

Zelis is a company dedicated to transforming the healthcare financial experience. It complies with NSA and TiC regulatory requirements, ensuring that all their operations meet the highest industry standards. Zelis serves over 700 payers and more than 1 million providers, offering a connected platform that bridges gaps in the healthcare financial system.

Payment Integrity Solutions

Zelis provides comprehensive payment integrity solutions designed to capture savings on every claim before payment. By proactively identifying discrepancies and optimizing payments, Zelis helps healthcare organizations reduce costs and improve financial outcomes.

Out-of-Network Solutions

The company offers out-of-network solutions that uncover significant savings for healthcare providers. These solutions enable organizations to manage out-of-network claims efficiently, ensuring cost-effectiveness and financial sustainability.

Network Solutions

Zelis delivers network solutions aimed at building, optimizing, maintaining, and selling performing networks. These solutions are vital for healthcare providers looking to enhance their network efficiencies and improve overall performance.

Member Engagement Solutions

Zelis offers member engagement solutions that empower members to navigate care options at affordable costs. Through these solutions, members are better equipped to find the care they need while managing their healthcare expenses effectively.

Payments Optimization Solutions

The company provides payments optimization solutions that deliver faster payments and better communications to clients. This ensures streamlined financial transactions and enhanced client satisfaction through improved payment processes.

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